Active NPI
Wellness Associates of Florida LLC
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Atlantis, FL
National Provider Identifier
1831287192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Magnetic Resonance Imaging (MRI) Clinic/Center
- License
- HCC4322
- Legal business name
- WELLNESS ASSOCIATES OF FLORIDA LLC
- Practice address
- 5917 S Congress Ave
Atlantis, FL 33462-1303 - Phone
- (561) 966-3393
- Fax
- (561) 966-9793
- NPI assigned
- Oct 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Amado Esteban Lopez
- Title
- President
- Phone
- (561) 966-3393
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Magnetic Resonance Imaging (MRI) Clinic/Center | 261QM1200X | HCC4322 | FL | Primary |
Addresses
Primary practice location
5917 S Congress Ave
Atlantis, FL 33462-1303
Mailing address
5917 S Congress Ave
Atlantis, FL 33462-1303
Phone (561) 966-3393
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| FL 165 | Other | FL | MEDSOLUTIOND |
| V2247 | Other | FL | BCBS |
| 2548771 | Other | FL | AETNA - HMO |
| 5843 | Other | FL | AVMED |
| HCC4322 | Other | FL | FL STATE LICENSE |
Other names 1
- WELLNESS ASSOCIATES OF FLORIDA INC
National Provider Directory
National Provider DirectoryLocations
5917 S Congress Ave
Lantana, FL 33462
Phone (561) 432-0001
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529539200000",
"number": "1831287192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5917 S CONGRESS AVE",
"city": "ATLANTIS",
"state": "FL",
"postal_code": "334621303",
"telephone_number": "561-966-3393",
"fax_number": "561-966-9793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5917 S CONGRESS AVE",
"city": "ATLANTIS",
"state": "FL",
"postal_code": "334621303",
"telephone_number": "561-966-3393",
"fax_number": "561-966-9793"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLNESS ASSOCIATES OF FLORIDA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-11",
"last_updated": "2018-06-21",
"status": "A",
"authorized_official_last_name": "LOPEZ",
"authorized_official_first_name": "AMADO",
"authorized_official_middle_name": "ESTEBAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "561-966-3393",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QM1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
"state": "FL",
"license": "HCC4322",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDSOLUTIOND",
"identifier": "FL 165",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "V2247",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA - HMO",
"identifier": "2548771",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED",
"identifier": "5843",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL STATE LICENSE",
"identifier": "HCC4322",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "WELLNESS ASSOCIATES OF FLORIDA INC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Atlantis, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.