Florida Wellness Institute of Pinellas County, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ME 86204 Issued in FL

Legal business name

FLORIDA WELLNESS INSTITUTE OF PINELLAS COUNTY, LLC

Practice address

1000 S Fort Harrison Ave
Suite a
Clearwater, FL 33756-3906

Phone

(727) 449-2008

Fax

(727) 449-1499

NPI assigned

Jun 4, 2014

Last updated

Jun 4, 2014By 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. James William Gatza, D.C.NPI 1972893568

Title

Manager

Phone

(727) 449-2008

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.

• James Gatza, D.C

  • Chiropractor
  • Clearwater, FL
  • NPI 1972893568
  Authorized official Same address or phone

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401840000000",
    "number": "1821401191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 S FORT HARRISON AVE",
            "address_2": "SUITE A",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563906",
            "telephone_number": "727-449-2008",
            "fax_number": "727-449-1499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S FORT HARRISON AVE",
            "address_2": "SUITE A",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563906",
            "telephone_number": "727-449-2008",
            "fax_number": "727-449-1499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA WELLNESS INSTITUTE OF PINELLAS COUNTY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-04",
        "last_updated": "2014-06-04",
        "status": "A",
        "authorized_official_last_name": "GATZA",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "727-449-2008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME 86204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Clearwater, FL
• Providers in Clearwater, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; 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.