NPIMap

Organization Active NPI

Medical Clinics P.a.

Doing business as The Wellness Center at Vero

  • Primary Care Clinic/Center
  • Vero Beach, FL
National Provider Identifier
1639503378
Registry record updated Sep 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
ME 19488 Issued in FL
Legal business name
MEDICAL CLINICS P.A.
Doing business as
The Wellness Center at Vero
Practice address
1880 82ND Ave
Suite 202E
Vero Beach, FL 32966-6995
Phone
(772) 257-6217
Fax
(772) 257-6219
NPI assigned
Aug 29, 2013
Last updated
Sep 27, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2013

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

Authorized official

Name
Dr. Stephen Louis Nemerofsky, M.D.NPI 1245264001
Title
President
Phone
(561) 586-3400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X ME 19488 FL Primary

Addresses

Primary practice location

1880 82ND Ave
Suite 202E
Vero Beach, FL 32966-6995

Mailing address

1111 Hypoluxo Rd
Suite 107
Lantana, FL 33462-4271
Phone (561) 586-3400

Other names 1

  • The Wellness Center at Vero Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Medical Clinics PA4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1880 82nd Ave
Ste 202E
Vero Beach, FL 32966
Phone (772) 257-6217

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380240000000",
    "number": "1639503378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 HYPOLUXO RD",
            "address_2": "SUITE 107",
            "city": "LANTANA",
            "state": "FL",
            "postal_code": "334624271",
            "telephone_number": "561-586-3400",
            "fax_number": "561-585-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 82ND AVE",
            "address_2": "SUITE 202E",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329666995",
            "telephone_number": "772-257-6217",
            "fax_number": "772-257-6219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CLINICS P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-29",
        "last_updated": "2013-09-27",
        "status": "A",
        "authorized_official_last_name": "NEMEROFSKY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-586-3400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME 19488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Wellness Center at Vero",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2013; 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.