Organization Active NPI

Florida Wellness & Rehabilitation Center, Inc

  • Rehabilitation Chiropractor
  • Homestead, FL
National Provider Identifier
1578787453
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
Legal business name
FLORIDA WELLNESS & REHABILITATION CENTER, INC
Practice address
207 N Krome Ave
Homestead, FL 33030-6018
Phone
(305) 246-0056
Fax
(305) 246-0093
NPI assigned
Apr 12, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mark A Cereceda, D.C., P.A.
Title
President
Phone
(305) 246-0056

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X Primary

Addresses

Primary practice location

207 N Krome Ave
Homestead, FL 33030-6018

Mailing address

207 N Krome Ave
Homestead, FL 33030-6018
Phone (305) 246-0056

National Provider Directory

National Provider Directory

Locations

207 N Krome Ave
Homestead, FL 33030
Phone (305) 246-0056

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578787453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 N KROME AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330306018",
            "telephone_number": "305-246-0056",
            "fax_number": "305-246-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 N KROME AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330306018",
            "telephone_number": "305-246-0056",
            "fax_number": "305-246-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA WELLNESS & REHABILITATION CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CERECEDA",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-246-0056",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., P.A."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.