NPIMap

Organization Active NPI

My Wellness 4 U

  • Primary Care Clinic/Center
  • Lady Lake, FL
National Provider Identifier
1740618693
Registry record updated Oct 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
PA9104428 Issued in FL
Legal business name
MY WELLNESS 4 U
Practice address
39204 Tacoma Dr
Lady Lake, FL 32159-6006
Phone
(352) 504-7456
NPI assigned
Oct 30, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2013

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

Authorized official

Name
Miss Margaret Yearwood, P.A.NPI 1750567087
Title
Ownerq
Phone
(352) 504-7456

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)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X PA9104428 FL Primary

Addresses

Primary practice location

39204 Tacoma Dr
Lady Lake, FL 32159-6006

Mailing address

39204 Tacoma Dr
Lady Lake, FL 32159-6006

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1383091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383091200000",
    "number": "1740618693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39204 TACOMA DR",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321596006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39204 TACOMA DR",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321596006",
            "telephone_number": "352-504-7456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY WELLNESS 4 U",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-30",
        "last_updated": "2013-10-30",
        "status": "A",
        "authorized_official_last_name": "YEARWOOD",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "OWNERQ",
        "authorized_official_telephone_number": "352-504-7456",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "P.A."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "PA9104428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lady Lake, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2013; 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.