Kaiser Wellness Center

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

KAISER WELLNESS CENTER

Practice address

1717 N Flagler Dr
Suite #3
West Palm Beach, FL 33407

Phone

(954) 707-4640

NPI assigned

Feb 29, 2016

Organization subpart

No

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

Authorized official

Name

Maher Soudah

Title

Ceo

Phone

(614) 772-0078

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.

• Fernando Jimenez, MD

  • Cardiovascular Disease Physician
  • Coconut Creek, FL
  • NPI 1871531137
  NPD

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

{
    "created_epoch": "1456704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527120000000",
    "number": "1912367384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 N FLAGLER DR",
            "address_2": "SUITE #3",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334076555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 N FLAGLER DR",
            "address_2": "SUITE #3",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "33407",
            "telephone_number": "954-707-4640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAISER WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-29",
        "last_updated": "2018-05-24",
        "status": "A",
        "authorized_official_last_name": "SOUDAH",
        "authorized_official_first_name": "MAHER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "614-772-0078"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Kachur
• Franck Kacou, PHARMD
• Maya Kaczmarska
• Richard Michael Kadingo, MD
• Kahties in-Home Care Services LLC
• Kaizen Behavioral Health, LLC
• Geetanjali Kale, MBBS
• Klea Kalenja, DO
• Kristiana R Kalibat, D.M.D.
• Shaheed Kalloo, M.D.

• Clinic/Center in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2018; 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.