NPIMap

Organization Active NPI

TGWC Detox

  • Nutritionist
  • North Miami, FL
National Provider Identifier
1871963520
Registry record updated Oct 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
ND5691 Issued in FL
Legal business name
TGWC DETOX
Practice address
16565 NE TH Avenue
North Miami, FL 33162
Phone
(305) 944-1516
NPI assigned
Oct 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2015

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

Authorized official

Name
Denise Melendez
Title
Director
Phone
(786) 671-3267

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
NutritionistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 133N00000X ND5691 FL Primary
Registered DietitianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 133V00000X ND5691 FL

Addresses

Primary practice location

16565 NE TH Avenue
North Miami, FL 33162

Mailing address

16565 NE TH Avenue
North Miami, FL 33162
Phone (305) 944-1516

Other identifiers 1

IdentifierTypeStateIssuer
ND5691OtherFLDIETITIAN/NUTRITIONIST

Other names 1

  • THE GARDENS WELLNESS CENTER Other name

National Provider Directory

National Provider Directory
Tax ID family
TGWC Associates LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1444089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444089600000",
    "number": "1871963520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16565 NE TH AVENUE",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "33162",
            "telephone_number": "305-944-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16565 NE TH AVENUE",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "33162",
            "telephone_number": "305-944-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TGWC DETOX",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-06",
        "last_updated": "2015-10-06",
        "status": "A",
        "authorized_official_last_name": "MELENDEZ",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "786-671-3267"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": "FL",
            "license": "ND5691",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND5691",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DIETITIAN/NUTRITIONIST",
            "identifier": "ND5691",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE GARDENS WELLNESS CENTER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in North Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.