Miami WLP, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MIAMI WLP, LLC

Practice address

5405 Okeechobee Blvd Ste 205
West Palm Beach, FL 33417-4544

Phone

(561) 594-0551

NPI assigned

Jun 2, 2021

Last updated

Oct 27, 2021By 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

Ira Wellisch

Title

Coo

Phone

(786) 201-5575

Specialties & licenses 1

Addresses

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.

• Shirish Shah, MD

  • Pediatrics Physician
  • Tampa, FL
  • NPI 1346251899
  NPD

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

{
    "created_epoch": "1622592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635292800000",
    "number": "1619543329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5405 OKEECHOBEE BLVD STE 205",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334174544",
            "telephone_number": "561-594-0551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5405 OKEECHOBEE BLVD STE 205",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334174544",
            "telephone_number": "561-594-0551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI WLP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-02",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A",
        "authorized_official_last_name": "WELLISCH",
        "authorized_official_first_name": "IRA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "786-201-5575"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jokebede Mezidor
• Carmel Mezier
• Nicole Mezoff, AP
• Mi Casa Es Tu Casa #2
• Mi Casitas Alf LLC
• Taylor Alissa Micallef, DMD
• Ave Maria Miceli
• Michael a. Gleiber, M.D., P.a.
• Michael Berglass, DDS PLLC
• Michael Papa, D.C. P.a.

• Family Medicine Physician in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; 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.