Renewed Wellness Medical Center LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

RENEWED WELLNESS MEDICAL CENTER LLC

Practice address

4047 Okeechobee Blvd Ste 126
West Palm Beach, FL 33409-3225

Phone

(561) 619-8160

NPI assigned

Apr 17, 2019

Last updated

Apr 17, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joseph Taylor, DCNPI 1992081046

Title

Owner

Phone

(561) 723-7701

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, and the practitioner matching its NPPES authorized official.

• Joseph Lenard Taylor

  • Chiropractor
  • West Palm Beach, FL
  • NPI 1992081046
  Authorized official Same address or phone

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

{
    "created_epoch": "1555459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555459200000",
    "number": "1699338434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4047 OKEECHOBEE BLVD STE 126",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334093225",
            "telephone_number": "561-619-8160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4047 OKEECHOBEE BLVD STE 126",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334093225",
            "telephone_number": "561-619-8160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWED WELLNESS MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-17",
        "last_updated": "2019-04-17",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-723-7701",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nellie Esther Rendon, LMT
• Yusnelis Rendon
• Renes Castor MD PA
• Renew the Breast Care Boutique Inc
• Renew You Palm Beach, LLC
• Renewu
• Mary Renner, OTR/L
• Replenish and Renew Counseling LLC
• Reprieve LLC
• Andrea Rerecich, ARNP

• General Practice Physician in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; 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.