Active NPI
Pura Vida Health & Wellness Centers, Inc
- Primary Care Clinic/Center
- Lake Worth, FL
National Provider Identifier
1689439507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- PURA VIDA HEALTH & WELLNESS CENTERS, INC
- Practice address
- 8927 Hypoluxo Rd Ste PMB 1006
Lake Worth, FL 33467-5262 - Phone
- (561) 706-4392
- NPI assigned
- Feb 20, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Marjorie Collins, FNP, PMHNP
- Title
- FNP, Pmhnp
- Phone
- (561) 706-4392
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
8927 Hypoluxo Rd Ste PMB 1006
Lake Worth, FL 33467-5262
Mailing address
8927 Hypoluxo Rd Ste PMB 1006
Lake Worth, FL 33467-5262
Phone (561) 706-4392
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708387200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708387200000",
"number": "1689439507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8927 HYPOLUXO RD STE PMB 1006",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334675262",
"telephone_number": "561-706-4392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8927 HYPOLUXO RD STE PMB 1006",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334675262",
"telephone_number": "561-706-4392"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PURA VIDA HEALTH & WELLNESS CENTERS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-20",
"last_updated": "2024-02-20",
"certification_date": "2024-02-20",
"status": "A",
"authorized_official_last_name": "COLLINS",
"authorized_official_first_name": "MARJORIE",
"authorized_official_title_or_position": "FNP, PMHNP",
"authorized_official_telephone_number": "561-706-4392",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "FNP, PMHNP"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Worth, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.