Organization Active NPI

Wellness Works Inc

  • Internal Medicine Physician
  • Brandon, FL
National Provider Identifier
1710154182
Registry record updated Jan 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
WELLNESS WORKS INC
Practice address
1209 Lakeside Dr
Brandon, FL 33510-4109
Phone
(813) 661-3662
NPI assigned
May 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2009

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

Authorized official

Name
Kathryn A Gibson
Title
Cfo
Phone
(813) 661-3662

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1209 Lakeside Dr
Brandon, FL 33510-4109

Mailing address

1209 Lakeside Dr
Brandon, FL 33510-4109
Phone (813) 661-3662

National Provider Directory

National Provider Directory

Locations

1209 Lakeside Dr
Brandon, FL 33510
Phone (813) 263-6262

2106 Bispham Rd
Sarasota, FL 34231
Phone (941) 735-9503

Practitioners & affiliated clinicians

Practitioners 5

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": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231200000000",
    "number": "1710154182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 LAKESIDE DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335104109",
            "telephone_number": "813-661-3662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 LAKESIDE DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335104109",
            "telephone_number": "813-661-3662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS WORKS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2009-01-06",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "813-661-3662"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "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 6, 2009; 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.