St. Lucie Wellness Center, Corp.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH11348 Issued in FL

Legal business name

ST. LUCIE WELLNESS CENTER, CORP.

Practice address

550 NW University Blvd
Ste 104
Port St Lucie, FL 34986-2285

Phone

(772) 249-0040

Fax

(772) 446-9563

NPI assigned

Mar 10, 2015

Last updated

May 7, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Christopher White, D,C,

Title

Owner

Phone

(561) 684-8774

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1425945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430956800000",
    "number": "1609269034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 NW UNIVERSITY BLVD",
            "address_2": "STE 104",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349862285",
            "telephone_number": "772-249-0040",
            "fax_number": "772-446-9563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 NW UNIVERSITY BLVD",
            "address_2": "STE 104",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349862285",
            "telephone_number": "772-249-0040",
            "fax_number": "772-446-9563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LUCIE WELLNESS CENTER, CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-10",
        "last_updated": "2015-05-07",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-684-8774",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D,C,"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2015; 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.