Comprehensive Wellness of South Florida

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

COMPREHENSIVE WELLNESS OF SOUTH FLORIDA

Practice address

7300 NW 61St Ter
Parkland, FL 33067-3317

Phone

(561) 577-5385

NPI assigned

May 1, 2019

Last updated

Sep 11, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Reginald Perard, NP

Title

Nurse Practitioner/ Ceo

Phone

(561) 577-5385

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1556668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568160000000",
    "number": "1891350294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 NW 61ST TER",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330673317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 NW 61ST TER",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330673317",
            "telephone_number": "561-577-5385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE WELLNESS OF SOUTH FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-01",
        "last_updated": "2019-09-11",
        "status": "A",
        "authorized_official_last_name": "PERARD",
        "authorized_official_first_name": "REGINALD",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/ CEO",
        "authorized_official_telephone_number": "561-577-5385",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; 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.