Prowellness, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PROWELLNESS, LLC

Practice address

2636 Arbor LN
Royal Palm Beach, FL 33411-6126

Phone

(561) 281-1879

NPI assigned

Nov 19, 2021

Organization subpart

No

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

Authorized official

Name

Bruce Haberman, DCNPI 1679778724

Title

Owner

Phone

(561) 281-1879

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.

• Bruce Martin Haberman, D.C.

  • Chiropractor
  • Wellington, FL
  • NPI 1679778724
  NPD Authorized official

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

{
    "created_epoch": "1637280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637280000000",
    "number": "1669139010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2636 ARBOR LN",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334116126",
            "telephone_number": "561-281-1879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2636 ARBOR LN",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334116126",
            "telephone_number": "561-281-1879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROWELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-19",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A",
        "authorized_official_last_name": "HABERMAN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-281-1879",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Royal Palm Beach, FL
• Providers in Royal Palm Beach, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.