Organization Active NPI

Functional Healing and Wellness

  • Chiropractor
  • Palm Beach Gardens, FL
National Provider Identifier
1710345673
Registry record updated Feb 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH11471 Issued in FL
Legal business name
FUNCTIONAL HEALING AND WELLNESS
Practice address
4290 Professional Center Dr
303
Palm Beach Gardens, FL 33410-4275
Phone
(561) 877-0999
NPI assigned
Feb 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2016

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

Authorized official

Name
Dr. Carla Palacios, DC
Title
Chiropractor
Phone
(561) 877-0999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH11471 FL Primary

Addresses

Primary practice location

4290 Professional Center Dr
303
Palm Beach Gardens, FL 33410-4275

Mailing address

4290 Professional Center Dr
303
Palm Beach Gardens, FL 33410-4275
Phone (561) 877-0999

National Provider Directory

National Provider Directory

Locations

4290 Professional Center Dr
Ste 303
Palm Beach Gardens, FL 33410
Phone (561) 877-0999

NPI Registry JSON

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

{
    "created_epoch": "1454889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454889600000",
    "number": "1710345673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4290 PROFESSIONAL CENTER DR",
            "address_2": "303",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104275",
            "telephone_number": "561-877-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4290 PROFESSIONAL CENTER DR",
            "address_2": "303",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104275",
            "telephone_number": "561-877-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL HEALING AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-08",
        "last_updated": "2016-02-08",
        "status": "A",
        "authorized_official_last_name": "PALACIOS",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "561-877-0999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2016; 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.