Active NPI
Wellquest Lifestyle Rehabilitation, LLC
- Acupuncturist
- Brandon, FL
National Provider Identifier
1699366385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- Legal business name
- WELLQUEST LIFESTYLE REHABILITATION, LLC
- Practice address
- 345 E Robertson St
Brandon, FL 33511-5253 - Phone
- (813) 404-6006
- NPI assigned
- Jan 27, 2021
- 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
- Camille Clark
- Title
- Medical Billing Associate
- Phone
- (754) 205-6154
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | Primary |
Addresses
Primary practice location
345 E Robertson St
Brandon, FL 33511-5253
Mailing address
110 Mitchell Dr
Brandon, FL 33511-6831
Phone (813) 404-6006
National Provider Directory
National Provider DirectoryLocations
345 E Robertson St
Brandon, FL 33511
Phone (813) 404-6006
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Acupuncturist
- Brandon, FL
- NPI 1255752705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611705600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1611705600000",
"number": "1699366385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 MITCHELL DR",
"city": "BRANDON",
"state": "FL",
"postal_code": "335116831",
"telephone_number": "813-404-6006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 E ROBERTSON ST",
"city": "BRANDON",
"state": "FL",
"postal_code": "335115253",
"telephone_number": "813-404-6006"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLQUEST LIFESTYLE REHABILITATION, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-27",
"last_updated": "2021-01-27",
"certification_date": "2021-01-27",
"status": "A",
"authorized_official_last_name": "CLARK",
"authorized_official_first_name": "CAMILLE",
"authorized_official_title_or_position": "MEDICAL BILLING ASSOCIATE",
"authorized_official_telephone_number": "754-205-6154"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.