Organization Active NPI

Health and Wellness Clinic of S Orlando, Inc

  • Internist Chiropractor
  • Orlando, FL
National Provider Identifier
1861708091
Registry record updated Aug 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internist ChiropractorTaxonomy code 111NI0900X
License
CH6162 Issued in FL
Legal business name
HEALTH AND WELLNESS CLINIC OF S ORLANDO, INC
Practice address
11364 S Orange Blossom TRL
Orlando, FL 32837-9426
Phone
(407) 240-0606
Fax
(407) 240-0054
NPI assigned
Aug 25, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2010

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

Authorized official

Name
Dr. Richard T Pfaff, CHIROPRACTOR
Title
President
Phone
(407) 240-0606

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internist ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NI0900X CH6162 FL Primary

Addresses

Primary practice location

11364 S Orange Blossom TRL
Orlando, FL 32837-9426

Mailing address

11364 S Orange Blossom TRL
Orlando, FL 32837-9426
Phone (407) 240-0606

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1282694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282694400000",
    "number": "1861708091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11364 S ORANGE BLOSSOM TRL",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328379426",
            "telephone_number": "407-240-0606",
            "fax_number": "407-240-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11364 S ORANGE BLOSSOM TRL",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328379426",
            "telephone_number": "407-240-0606",
            "fax_number": "407-240-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH AND WELLNESS CLINIC OF S ORLANDO, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-25",
        "last_updated": "2010-08-25",
        "status": "A",
        "authorized_official_last_name": "PFAFF",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-240-0606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "CHIROPRACTOR"
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Internist",
            "state": "FL",
            "license": "CH6162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2010; 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.