Active NPI
Wellness Medical Center LLC
- Family Medicine Physician
- Miami, FL
National Provider Identifier
1518404458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- WELLNESS MEDICAL CENTER LLC
- Practice address
- 3445 NW 7TH St
Miami, FL 33125-4013 - Phone
- (305) 643-0133
- Fax
- (305) 643-1728
- NPI assigned
- Jan 30, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Keila Hoover, MD
- Title
- Owner
- Phone
- (305) 458-0211
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
3445 NW 7TH St
Miami, FL 33125-4013
Mailing address
7369 SW 24TH St
Miami, FL 33155-1402
Phone (305) 643-0133
National Provider Directory
National Provider Directory- Tax ID family
- Wellness Medical Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinic/Center
- Miami, FL
- NPI 1043665284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1485734400000",
"number": "1518404458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7369 SW 24TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331551402",
"telephone_number": "305-643-0133",
"fax_number": "305-643-1728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3445 NW 7TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331254013",
"telephone_number": "305-643-0133",
"fax_number": "305-643-1728"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLNESS MEDICAL CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-01-30",
"last_updated": "2017-01-30",
"status": "A",
"authorized_official_last_name": "HOOVER",
"authorized_official_first_name": "KEILA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "305-458-0211",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.