Organization Active NPI

Injury, Health & Wellness, P.a.

  • Nurse Practitioner
  • Apopka, FL
National Provider Identifier
1740336460
Registry record updated Nov 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP2227962 Issued in FL
Legal business name
INJURY, HEALTH & WELLNESS, P.A.
Practice address
316 S Central Ave
Apopka, FL 32703-4246
Phone
(407) 886-2299
Fax
(407) 886-1227
NPI assigned
Jan 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2012

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

Authorized official

Name
Mr. Mark E Boylan, DCNPI 1811959877
Title
Owner
Phone
(407) 886-2299

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH3217 FL
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X ARNP2227962 FL Primary

Addresses

Primary practice location

316 S Central Ave
Apopka, FL 32703-4246

Mailing address

316 S Central Ave
Apopka, FL 32703-4246
Phone (407) 886-2299

Other names 1

  • Injury Health & Wellness Inc Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071121000131 FL Part B Supplier - Clinic/Group Practice 7012005226 Receives reassigned benefits from 1 practitioner
Practice locations: Apopka, FL

National Provider Directory

National Provider Directory

Locations

316 S Central Ave
Apopka, FL 32703
Phone (407) 886-2299

Practitioners & affiliated clinicians

Practitioners 2

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": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353283200000",
    "number": "1740336460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 S CENTRAL AVE",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327034246",
            "telephone_number": "407-886-2299",
            "fax_number": "407-886-1227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 S CENTRAL AVE",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327034246",
            "telephone_number": "407-886-2299",
            "fax_number": "407-886-1227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INJURY, HEALTH & WELLNESS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2012-11-19",
        "status": "A",
        "authorized_official_last_name": "BOYLAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-886-2299",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH3217",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP2227962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Injury Health & Wellness Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Apopka, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.