Nuwave Health & Wellness LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

NUWAVE HEALTH & WELLNESS LLC

Practice address

235 Hatteras Ave Ste 100
Clermont, FL 34711-7401

Phone

(352) 404-8929

Fax

(352) 404-6519

NPI assigned

Jun 26, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Eusebio Desrosiers, D.CNPI 1598386732

Title

Owner

Phone

(407) 300-2180

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eusebio Desrosiers, DC

  • Chiropractor
  • Clermont, FL
  • NPI 1598386732
  Medicare reassignment NPD Authorized official
• Cameron Brown, DC

  • Chiropractor
  • Clermont, FL
  • NPI 1962023101
  NPD

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

{
    "created_epoch": "1593129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593129600000",
    "number": "1629695572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3018 EAGLET LOOP",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328376929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 HATTERAS AVE STE 100",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347117401",
            "telephone_number": "352-404-8929",
            "fax_number": "352-404-6519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUWAVE HEALTH & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-26",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A",
        "authorized_official_last_name": "DESROSIERS",
        "authorized_official_first_name": "EUSEBIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-300-2180",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. CAMERON BROWN D.C.",
            "identifier": "1962023101",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Clermont, FL
• Providers in Clermont, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.