Organization Active NPI

Palmetto Wellness Clinic, Inc

  • Chiropractor
  • Hialeah, FL
National Provider Identifier
1902237415
Registry record updated Dec 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH10680 Issued in FL
Legal business name
PALMETTO WELLNESS CLINIC, INC
Practice address
1840 W 49TH St
Suite 302
Hialeah, FL 33012-2942
Phone
(305) 819-0380
NPI assigned
Dec 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2013

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

Authorized official

Name
Oscar Molina
Title
President
Phone
(305) 710-0395

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH10680 FL Primary

Addresses

Primary practice location

1840 W 49TH St
Suite 302
Hialeah, FL 33012-2942

Mailing address

1840 W 49TH St
Suite 302
Hialeah, FL 33012-2942
Phone (305) 819-0380

National Provider Directory

National Provider Directory

Locations

1840 W 49th St
Ste 302
Hialeah, FL 33012
Phone (305) 819-0380

NPI Registry JSON

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

{
    "created_epoch": "1386547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386547200000",
    "number": "1902237415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 W 49TH ST",
            "address_2": "SUITE 302",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330122942",
            "telephone_number": "305-819-0380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 W 49TH ST",
            "address_2": "SUITE 302",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330122942",
            "telephone_number": "305-819-0380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO WELLNESS CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-09",
        "last_updated": "2013-12-09",
        "status": "A",
        "authorized_official_last_name": "MOLINA",
        "authorized_official_first_name": "OSCAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-710-0395"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2013; 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.