Premier Health & Wellness Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

MM28102 Issued in FL

Legal business name

PREMIER HEALTH & WELLNESS CENTER

Practice address

4010 NW 34TH St
Lauderdale Lakes, FL 33319-5721

Phone

(954) 717-4200

Fax

(954) 717-4459

NPI assigned

Nov 28, 2011

Last updated

Nov 28, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Raymond Michael Ruszkowski, DC

Title

President/Owner

Phone

(954) 717-4200

Specialties & licenses 1

Addresses

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Premier Health & Wellness Center Corp

  • Family Medicine Physician
  • Pompano Beach, FL
  • NPI 1790643906
  NPPES parent name

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

{
    "created_epoch": "1322438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322438400000",
    "number": "1740557222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 NW 34TH ST",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333195721",
            "telephone_number": "954-717-4200",
            "fax_number": "954-717-4459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 NW 34TH ST",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333195721",
            "telephone_number": "954-717-4200",
            "fax_number": "954-717-4459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HEALTH & WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-28",
        "last_updated": "2011-11-28",
        "status": "A",
        "authorized_official_last_name": "RUSZKOWSKI",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "954-717-4200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "MM28102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Lauderdale Lakes, FL
• Providers in Lauderdale Lakes, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; 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.