T and C Wellness Center

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

T AND C WELLNESS CENTER

Practice address

2155 N State Road 7 Ste B
Margate, FL 33063-5713

Phone

(754) 368-2586

NPI assigned

Jul 18, 2023

Organization subpart

No

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

Authorized official

Name

Careecia Wallace, APRN, FNP-BCNPI 1013617711

Title

Administrator

Phone

(754) 368-2586

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Careecia Wallace, APRN, FNP-BC

  • Family Nurse Practitioner
  • Margate, FL
  • NPI 1013617711

  Multi-Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694563200000",
    "number": "1790465540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 N STATE ROAD 7 STE B",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330635713",
            "telephone_number": "754-368-2586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 N STATE ROAD 7 STE B",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330635713",
            "telephone_number": "754-368-2586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T AND C WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-18",
        "last_updated": "2023-09-13",
        "certification_date": "2023-08-28",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "CAREECIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "754-368-2586",
        "authorized_official_credential": "APRN, FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunvista Diagnostics
• Superior Health Supplies LLC
• Supreme Care Medical Supplies LLC
• Steven James Svabek, DO
• Jo Ann Szozda, DO
• Fern Fiona Taisenchoy-Bent, M.D.
• Gulnara Taldibaeva-Pugliese, MD
• Russ Tannenbaum, DC PA
• Zara Taqi, PHARMD
• Tarj Medical Center

• Multi-Specialty Clinic/Center in Margate, FL
• Providers in Margate, FL by specialty
• Multi-Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; 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.