Blue Zone Wellness Center

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA50141 Issued in FL

Legal business name

BLUE ZONE WELLNESS CENTER

Practice address

1488 S Palm Ave
Pembroke Pines, FL 33025-5520

Phone

(954) 367-9015

NPI assigned

Apr 16, 2012

Organization subpart

No

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

Authorized official

Name

Irica DoreNPI 1033429733

Title

Owner

Phone

(954) 213-5903

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Irica Elana Dore, LMT

  • Massage Therapist
  • Pembroke Pines, FL
  • NPI 1033429733
  NPD (past) Authorized official

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

{
    "created_epoch": "1334534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334534400000",
    "number": "1699032680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1488 S PALM AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330255520",
            "telephone_number": "954-367-9015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1488 S PALM AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330255520",
            "telephone_number": "954-367-9015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE ZONE WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-16",
        "last_updated": "2012-04-16",
        "status": "A",
        "authorized_official_last_name": "DORE",
        "authorized_official_first_name": "IRICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-213-5903"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA50141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marsha Bloomfield, PHARMD
• Blooming Care Services LLC
• Blue Minds LLC
• Blue Sky Home Healthcare, Inc.
• Blue Water Pain Solutions, PA
• Richard Samuel Blum, D.C.
• Nancy Bobadilla Leon
• Cindy P Bobadilla, LCSW
• Bockian & Cowan D.D.S. P.a, (Dental Center of Silver Lakes)
• Joshua Bockian, DDS

• Massage Therapist in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2012; 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.