Organization Active NPI

Highland Health & Wellness Center LLC

  • Chiropractor
  • Leesburg, FL
National Provider Identifier
1518112341
Registry record updated Nov 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8400 Issued in FL
Legal business name
HIGHLAND HEALTH & WELLNESS CENTER LLC
Practice address
27615 US Highway 27
Suite 109
Leesburg, FL 34748-9396
Phone
(352) 552-2181
NPI assigned
Nov 20, 2008
Last updated
Nov 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Keith L Bostaph, D.C.NPI 1962416149
Title
Manager
Phone
(352) 552-2181

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH8400 FL Primary

Addresses

Primary practice location

27615 US Highway 27
Suite 109
Leesburg, FL 34748-9396

Mailing address

6053 Spinnaker Loop
Lady Lake, FL 32159-5922
Phone (352) 552-2181

National Provider Directory

National Provider Directory

Locations

27405 US Highway 27
Ste 105A
Leesburg, FL 34748
Phone (352) 552-2181

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1227139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227139200000",
    "number": "1518112341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6053 SPINNAKER LOOP",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321595922",
            "telephone_number": "352-552-2181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27615 US HIGHWAY 27",
            "address_2": "SUITE 109",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347489396",
            "telephone_number": "352-552-2181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND HEALTH & WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-20",
        "last_updated": "2008-11-20",
        "status": "A",
        "authorized_official_last_name": "BOSTAPH",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "352-552-2181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.