Florida Medical Health and Wellness Center, Inc.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

ME97569 Issued in FL

Legal business name

FLORIDA MEDICAL HEALTH AND WELLNESS CENTER, INC.

Practice address

2151 E Commercial Blvd
Suite 202
Fort Lauderdale, FL 33308-3807

Phone

(954) 431-8022

Fax

(954) 431-8078

NPI assigned

May 16, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Victoria Macatangay Gaus, M.D.

Title

President

Phone

(954) 431-8022

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Florida Neuropathy Center Doing business as

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

{
    "created_epoch": "1368662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391040000000",
    "number": "1619313699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 E COMMERCIAL BLVD",
            "address_2": "SUITE 202",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333083807",
            "telephone_number": "954-431-8022",
            "fax_number": "954-431-8078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 E COMMERCIAL BLVD",
            "address_2": "SUITE 202",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333083807",
            "telephone_number": "954-431-8022",
            "fax_number": "954-431-8078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA MEDICAL HEALTH AND WELLNESS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-16",
        "last_updated": "2014-01-30",
        "status": "A",
        "authorized_official_last_name": "GAUS",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "MACATANGAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-431-8022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME97569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010243600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "HM460A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Florida Neuropathy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physical Medicine & Rehabilitation Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.