Active NPI
St. Johns Wellness Center, LLC
- Specialist
- St Augustine, FL
National Provider Identifier
1710152897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MM18687
- Legal business name
- ST. JOHNS WELLNESS CENTER, LLC
- Practice address
- 305 Kingsley Lake Dr
Suite 702
St Augustine, FL 32092-3043 - Phone
- (904) 537-0674
- NPI assigned
- Apr 29, 2008
- 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. Darlene L. Torroll, LMT
- Title
- Owner
- Phone
- (904) 537-0674
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MM18687 | FL | Primary |
Addresses
Primary practice location
305 Kingsley Lake Dr
Suite 702
St Augustine, FL 32092-3043
Mailing address
4361 Comanche Trail Blvd
Saint Johns, FL 32259-4285
Phone (904) 537-0674
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- St Augustine, FL
- NPI 1134311426
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209427200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209427200000",
"number": "1710152897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4361 COMANCHE TRAIL BLVD",
"city": "SAINT JOHNS",
"state": "FL",
"postal_code": "322594285",
"telephone_number": "904-537-0674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 KINGSLEY LAKE DR",
"address_2": "SUITE 702",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320923043",
"telephone_number": "904-537-0674"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST. JOHNS WELLNESS CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-29",
"last_updated": "2008-04-29",
"status": "A",
"authorized_official_last_name": "TORROLL",
"authorized_official_first_name": "DARLENE",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "904-537-0674",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LMT"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "FL",
"license": "MM18687",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.