Organization Active NPI

Total Body Wellness Clinic, LLC

  • Primary Care Clinic/Center
  • Hialeah, FL
National Provider Identifier
1518222934
Registry record updated Jul 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
TOTAL BODY WELLNESS CLINIC, LLC
Practice address
18400 NW 75TH PL
#119
Hialeah, FL 33015-2955
Phone
(786) 235-9096
Fax
(786) 953-7645
NPI assigned
Jul 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2012

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

Authorized official

Name
Carol Johnson
Title
Administrator
Phone
(786) 235-9096

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

18400 NW 75TH PL
#119
Hialeah, FL 33015-2955

Mailing address

18400 NW 75TH PL
#119
Hialeah, FL 33015-2955
Phone (786) 235-9096

National Provider Directory

National Provider Directory

Locations

18400 NW 75th Pl
Ste 119
Hialeah, FL 33015
Phone (786) 235-9096

NPI Registry JSON

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341964800000",
    "number": "1518222934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18400 NW 75TH PL",
            "address_2": "#119",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330152955",
            "telephone_number": "786-235-9096",
            "fax_number": "786-953-7645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18400 NW 75TH PL",
            "address_2": "#119",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330152955",
            "telephone_number": "786-235-9096",
            "fax_number": "786-953-7645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL BODY WELLNESS CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-11",
        "last_updated": "2012-07-11",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "786-235-9096"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2012; 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.