NPIMap

Organization Active NPI

Cultured BC Corp

  • Massage Therapist
  • Clermont, FL
National Provider Identifier
1831634740
Registry record updated Dec 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA67733 Issued in FL
Legal business name
CULTURED BC CORP
Practice address
1290 N Ridge Blvd Apt 922
Clermont, FL 34711-2896
Phone
(407) 319-8597
NPI assigned
Dec 31, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2016

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

Authorized official

Name
Camilo PerezNPI 1295270106
Title
Ceo
Phone
(407) 319-8597

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
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X MA67733 FL Primary

Addresses

Primary practice location

1290 N Ridge Blvd Apt 922
Clermont, FL 34711-2896

Mailing address

1290 N Ridge Blvd Apt 922
Clermont, FL 34711-2896
Phone (407) 319-8597

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": "1483142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483142400000",
    "number": "1831634740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 N RIDGE BLVD APT 922",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112896",
            "telephone_number": "407-319-8597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 N RIDGE BLVD APT 922",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112896",
            "telephone_number": "407-319-8597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULTURED BC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-31",
        "last_updated": "2016-12-31",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "CAMILO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-319-8597"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA67733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2016; 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.