Organization Active NPI

Hollywood Wellness Clinic Inc

Doing business as Elite Spine of Hollywood

  • Chiropractor
  • Fort Lauderdale, FL
National Provider Identifier
1851765408
Registry record updated Nov 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH11639 Issued in FL
Legal business name
HOLLYWOOD WELLNESS CLINIC INC
Doing business as
Elite Spine of Hollywood
Practice address
3107 Stirling Rd
Suite 206
Fort Lauderdale, FL 33312-6565
Phone
(954) 835-5644
Fax
(954) 283-7603
NPI assigned
Nov 19, 2015
Last updated
Nov 19, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2015

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

Authorized official

Name
Dr. Oscar Molina, DCNPI 1427301936
Title
Owner
Phone
(305) 890-6040

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
Chiropractor 111N00000X CH11639 FL Primary

Addresses

Primary practice location

3107 Stirling Rd
Suite 206
Fort Lauderdale, FL 33312-6565

Mailing address

1336 NW 84TH Ave
Doral, FL 33126-1500
Phone (305) 890-6040

Other names 1

  • Elite Spine of Hollywood Doing business as

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1447891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447891200000",
    "number": "1851765408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1336 NW 84TH AVE",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331261500",
            "telephone_number": "305-890-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3107 STIRLING RD",
            "address_2": "SUITE 206",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333126565",
            "telephone_number": "954-835-5644",
            "fax_number": "954-283-7603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLYWOOD WELLNESS CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-19",
        "last_updated": "2015-11-19",
        "status": "A",
        "authorized_official_last_name": "MOLINA",
        "authorized_official_first_name": "OSCAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-890-6040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Spine of Hollywood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2015; 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.