Metanoia Wellness Care LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

METANOIA WELLNESS CARE LLC

Practice address

1404 Tropical Oasis Ave
Plant City, FL 33565-5963

Phone

(787) 218-6456

Fax

(813) 867-7787

NPI assigned

Dec 5, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Deborah R Caballero Rodriguez, APRN FNP-BCNPI 1578280475

Title

Family Nurse Practitioner

Phone

(787) 218-6456

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Deborah Rhoda Caballero Rodriguez

  • Family Nurse Practitioner
  • Sebring, FL
  • NPI 1578280475
  NPD Authorized official

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

{
    "created_epoch": "1701734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701734400000",
    "number": "1871360438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 TROPICAL OASIS AVE",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335655963",
            "telephone_number": "787-218-6456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 TROPICAL OASIS AVE",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335655963",
            "telephone_number": "787-218-6456",
            "fax_number": "813-867-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METANOIA WELLNESS CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-05",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A",
        "authorized_official_last_name": "CABALLERO RODRIGUEZ",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "787-218-6456",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "APRN FNP-BC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Niki Lee Mendoza, PT, DPT
• Alesha Michelle Mercer
• Robert Messenger, COTA
• Samantha Lynne Messick, PHARMD
• Metampa, LLC
• Metcare of Florida Inc.
• David Methot, NP
• Miami Beach Medical Consultants, LLC.
• Michael D Boehm MD PA
• Michael S Mathews DMD PA

• Family Medicine Physician in Plant City, FL
• Providers in Plant City, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.