Organization Active NPI

Huffman and Kern Ventures LLC

Doing business as New Age Wellness and Medical Center

  • General Practice Physician
  • Casselberry, FL
National Provider Identifier
1871207126
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
HUFFMAN AND KERN VENTURES LLC
Doing business as
New Age Wellness and Medical Center
Practice address
853 State Road 436 Ste And1035
Casselberry, FL 32707-5342
Phone
(407) 951-7123
Fax
(407) 951-7529
NPI assigned
Jan 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2023

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

Authorized official

Name
Stephanie N Kern, DC
Title
Managing Partner
Phone
(407) 960-3237

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

853 State Road 436 Ste And1035
Casselberry, FL 32707-5342

Mailing address

853 State Road 436 Ste And1035
Casselberry, FL 32707-5342

Other names 2

  • New Age Wellness and Medical Center Doing business as
  • New Age Chiropractic Other name

National Provider Directory

National Provider Directory

Locations

853 State Road 436
Ste AND1035
Casselberry, FL 32707
Phone (407) 951-7123

NPI Registry JSON

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

{
    "created_epoch": "1673395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673568000000",
    "number": "1871207126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "853 STATE ROAD 436 STE AND1035",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327075342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "853 STATE ROAD 436 STE AND1035",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327075342",
            "telephone_number": "407-951-7123",
            "fax_number": "407-951-7529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUFFMAN AND KERN VENTURES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-11",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A",
        "authorized_official_last_name": "KERN",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "407-960-3237",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Age Wellness and Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "New Age Chiropractic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Casselberry, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; 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.