NPIMap

Organization Active NPI

Heaven on Earth Healthy Life

  • Pain Clinic/Center
  • Winter Park, FL
National Provider Identifier
1689965055
Registry record updated Apr 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
License
MA 50907 Issued in FL
Legal business name
HEAVEN ON EARTH HEALTHY LIFE
Practice address
305 N Lakemont Ave
305 N. Lakemont Ave
Winter Park, FL 32792-3204
Phone
(407) 222-3069
NPI assigned
Apr 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2011

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

Authorized official

Name
Paola Mendoza
Title
Cfo
Phone
(407) 222-3069

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X MA 50907 FL Primary

Addresses

Primary practice location

305 N Lakemont Ave
305 N. Lakemont Ave
Winter Park, FL 32792-3204

Mailing address

305 N Lakemont Ave
305 N. Lakemont Ave
Winter Park, FL 32792-3204
Phone (407) 222-3069

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1303257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303257600000",
    "number": "1689965055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 N LAKEMONT AVE",
            "address_2": "305 N. LAKEMONT AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327923204",
            "telephone_number": "407-222-3069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 N LAKEMONT AVE",
            "address_2": "305 N. LAKEMONT AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327923204",
            "telephone_number": "407-222-3069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVEN ON EARTH HEALTHY LIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-20",
        "last_updated": "2011-04-20",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "PAOLA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "407-222-3069"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "FL",
            "license": "MA 50907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; 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.