NPIMap

Organization Active NPI

Holisitic Family Medicine LLC

  • Primary Care Clinic/Center
  • Boca Raton, FL
National Provider Identifier
1770677346
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
ME80412 Issued in FL
Legal business name
HOLISITIC FAMILY MEDICINE LLC
Practice address
9325 Glades Road
Suite #104
Boca Raton, FL 33434
Phone
(561) 620-7779
Fax
(561) 367-9509
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kenneth Noah Woliner, M.D.NPI 1881786796
Title
Owner
Phone
(561) 620-7779

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 ME80412 FL Primary

Addresses

Primary practice location

9325 Glades Road
Suite #104
Boca Raton, FL 33434

Mailing address

9325 Glades Road
Suite #104
Boca Raton, FL 33434
Phone (561) 620-7779

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": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770677346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9325 GLADES ROAD",
            "address_2": "SUITE #104",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33434",
            "telephone_number": "561-620-7779",
            "fax_number": "561-367-9509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9325 GLADES ROAD",
            "address_2": "SUITE #104",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33434",
            "telephone_number": "561-620-7779",
            "fax_number": "561-367-9509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISITIC FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOLINER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "NOAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-620-7779",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME80412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.