Physicians Wellness Center, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

PHYSICIANS WELLNESS CENTER, LLC

Practice address

228 Palm Is NW
Clearwater Beach, FL 33767-1934

Phone

(513) 266-6226

Fax

(513) 887-7512

NPI assigned

Jan 10, 2017

Last updated

Jan 10, 2017By 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. Charles Michael Popa III, D.C.NPI 1063473940

Title

Owner

Phone

(513) 266-6226

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles M Popa III, D.C.

  • Chiropractor
  • Fairfield Township, OH
  • NPI 1063473940
  NPD (past) Authorized official

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

{
    "created_epoch": "1484006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484006400000",
    "number": "1760928063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 PALM IS NW",
            "city": "CLEARWATER BEACH",
            "state": "FL",
            "postal_code": "337671934",
            "telephone_number": "513-266-6226",
            "fax_number": "513-887-7512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 PALM IS NW",
            "city": "CLEARWATER BEACH",
            "state": "FL",
            "postal_code": "337671934",
            "telephone_number": "513-266-6226",
            "fax_number": "513-887-7512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-10",
        "last_updated": "2017-01-10",
        "status": "A",
        "authorized_official_last_name": "POPA",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-266-6226",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohamed Abdel Hakeem Khalaf, MD
• L.I.N. Legal Interpreting Network, LLC
• Marina Dental & Denture Clinic PA
• Kim O'Leesky, RN
• Eve M Persak, MS RDN CNSC CSSD
• Aleksander Precaj, DDS
• Aryk Rivoli-Johnson
• Roxanne A Rohn, PHARMD
• Ramona Fatima Santos, PHARMD
• Sarah P Sofianos

• Specialist in Clearwater Beach, FL
• Providers in Clearwater Beach, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2017; 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.