Organization Active NPI

Five Element Wellness Center Inc

  • Acupuncturist
  • Tamarac, FL
National Provider Identifier
1568807006
Registry record updated Dec 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP2304 Issued in FL
Legal business name
FIVE ELEMENT WELLNESS CENTER INC
Practice address
7310 W McNab Rd
Suite #107
Tamarac, FL 33321-5332
Phone
(954) 657-8342
Fax
(954) 657-8615
NPI assigned
May 9, 2013
Last updated
Dec 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2014

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

Authorized official

Name
Mrs. Monique Gusmao Bain, AP
Title
Owner/Physician
Phone
(954) 657-8342

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X FL
Acupuncturist 171100000X AP2304 FL Primary
Family Medicine Physician 207Q00000X NU
Physical Therapist 225100000X PT1921 FL

Addresses

Primary practice location

7310 W McNab Rd
Suite #107
Tamarac, FL 33321-5332

Mailing address

7310 W McNab Rd
Suite #107
Tamarac, FL 33321-5332
Phone (954) 657-8342

National Provider Directory

National Provider Directory

Locations

7310 W McNab Rd
Ste 107
Tamarac, FL 33321
Phone (954) 657-8342

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": "1368057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418688000000",
    "number": "1568807006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7310 W MCNAB RD",
            "address_2": "SUITE #107",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333215332",
            "telephone_number": "954-657-8342",
            "fax_number": "954-657-8615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7310 W MCNAB RD",
            "address_2": "SUITE #107",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333215332",
            "telephone_number": "954-657-8342",
            "fax_number": "954-657-8615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE ELEMENT WELLNESS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-09",
        "last_updated": "2014-12-16",
        "status": "A",
        "authorized_official_last_name": "BAIN",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_middle_name": "GUSMAO",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "954-657-8342",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "AP"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP2304",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT1921",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2014; 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.