Organization Active NPI

Back and Body Wellness Center Inc.

  • Clinic/Center
  • Ormond Beach, FL
National Provider Identifier
1588096523
Registry record updated Feb 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
CH10828 Issued in FL
Legal business name
BACK AND BODY WELLNESS CENTER INC.
Practice address
325 Clyde Morris Blvd
Suite 430
Ormond Beach, FL 32174-8178
Phone
(386) 679-7246
Fax
(386) 872-4999
NPI assigned
Aug 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2014

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

Authorized official

Name
Dr. Jeffrey M Cullers, D.C.
Title
Chiropractor
Phone
(386) 679-7246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X CH10828 FL Primary

Addresses

Primary practice location

325 Clyde Morris Blvd
Suite 430
Ormond Beach, FL 32174-8178

Mailing address

325 Clyde Morris Blvd
Suite 430
Ormond Beach, FL 32174-8178
Phone (386) 679-7246

National Provider Directory

National Provider Directory

Locations

433 Silver Beach Ave
Ste 101
Daytona Beach, FL 32118
Phone (386) 679-7246

325 Clyde Morris Blvd
Ste 430
Ormond Beach, FL 32174
Phone (386) 206-2929

NPI Registry JSON

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

{
    "created_epoch": "1375315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391990400000",
    "number": "1588096523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 CLYDE MORRIS BLVD",
            "address_2": "SUITE 430",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748178",
            "telephone_number": "386-679-7246",
            "fax_number": "386-872-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 CLYDE MORRIS BLVD",
            "address_2": "SUITE 430",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748178",
            "telephone_number": "386-679-7246",
            "fax_number": "386-872-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK AND BODY WELLNESS CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-01",
        "last_updated": "2014-02-10",
        "status": "A",
        "authorized_official_last_name": "CULLERS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "386-679-7246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "CH10828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.