Organization Active NPI

The Wellness Center of London Square Inc.

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1851686943
Registry record updated Dec 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
THE WELLNESS CENTER OF LONDON SQUARE INC.
Practice address
13550 SW 120TH St Ste 518
Miami, FL 33186-7507
Phone
(305) 385-3939
Fax
(305) 385-3466
NPI assigned
Jun 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2011

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

Authorized official

Name
Ms. Angie Sanchez
Title
Director / Ceo
Phone
(305) 385-3939

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X Primary
General Practice PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208D00000X

Addresses

Primary practice location

13550 SW 120TH St Ste 518
Miami, FL 33186-7507

Mailing address

13550 SW 120TH St Ste 518
Miami, FL 33186-7507
Phone (305) 385-3939

National Provider Directory

National Provider Directory

Locations

8352 SW 40th St
Miami, FL 33155
Phone (305) 225-0707

13550 SW 120th St
Ste 518
Miami, FL 33186
Phone (305) 385-3939

NPI Registry JSON

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

{
    "created_epoch": "1308182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323648000000",
    "number": "1851686943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13550 SW 120TH ST STE 518",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331867507",
            "telephone_number": "305-385-3939",
            "fax_number": "305-385-3466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13550 SW 120TH ST STE 518",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331867507",
            "telephone_number": "305-385-3939",
            "fax_number": "305-385-3466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WELLNESS CENTER OF LONDON SQUARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-16",
        "last_updated": "2011-12-12",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "DIRECTOR / CEO",
        "authorized_official_telephone_number": "305-385-3939",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; 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.