Wellness Depot Center FL LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

WELLNESS DEPOT CENTER FL LLC

Practice address

3537 Forest Hill Blvd Ste B
West Palm Beach, FL 33406-5867

Phone

(561) 892-6002

NPI assigned

Jul 20, 2023

Organization subpart

No

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

Authorized official

Name

Alexander Mogilner

Title

Owner

Phone

(516) 984-7327

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1689811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697673600000",
    "number": "1689354078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3537 FOREST HILL BLVD STE B",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334065867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3537 FOREST HILL BLVD STE B",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334065867",
            "telephone_number": "561-892-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS DEPOT CENTER FL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-20",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A",
        "authorized_official_last_name": "MOGILNER",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-984-7327"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judy-Ann Wellington, ARNP
• Wellmax Health Medical Centers, LLC
• Wellness Center of Palm Beach
• Wellness Center of Palm Beach Health
• Wellness Connect Services, LLC
• Catherine J Wells
• Tara Alexandra Wells, LCSW
• Tyler Gene Wells, CPO
• Wellscare Solutions, LLC
• Jeffrey Stuart Wenger, M.D.

• Multi-Specialty Clinic/Center in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Multi-Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; 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.