Smart for Life Palm Beach County

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

ME26716 Issued in FL

Legal business name

SMART FOR LIFE PALM BEACH COUNTY

Doing business as

Smart For Life Weight Management Centers

Practice address

4210 Northlake Blvd
Palm Beach Gardens, FL 33410-6252

Phone

(561) 745-4888

Fax

(561) 318-6073

NPI assigned

Feb 7, 2012

Last updated

Jun 27, 2012By 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

Mrs. Nancy Greene Corn

Title

MGR/Owner

Phone

(561) 745-4888

Specialties & licenses 1

Addresses

Other names 1

• Smart For Life Weight Management Centers Doing business as

Locations

Practitioners 2

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.

• Richard Edward Kowalsky, MD

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1518235787
  NPD
• Sasson E Moulavi, M.D.

  • General Practice Physician
  • Boca Raton, FL
  • NPI 1619248358
  NPD (past)

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

{
    "created_epoch": "1328572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340755200000",
    "number": "1801168844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4210 NORTHLAKE BLVD",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334106252",
            "telephone_number": "561-745-4888",
            "fax_number": "561-318-6073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4210 NORTHLAKE BLVD",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334106252",
            "telephone_number": "561-745-4888",
            "fax_number": "561-318-6073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMART FOR LIFE PALM BEACH COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-07",
        "last_updated": "2012-06-27",
        "status": "A",
        "authorized_official_last_name": "CORN",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "GREENE",
        "authorized_official_title_or_position": "MGR/OWNER",
        "authorized_official_telephone_number": "561-745-4888",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "ME26716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smart For Life Weight Management Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cynthia Slater, LCSW
• Mark Jeffrey Slepin, M.D.
• Jewel Slesnick, PSY.D.
• Wendell Slone, DO
• Mikeria Slydell
• Smart Lab LLC
• Smart Physical Therapy Inc
• Smartnick LLC (Listen To Your Body)
• Smilebuilders Inc
• Smith Chiropractic Health and Wellness Center PA

• Clinic/Center in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2012; 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.