Organization Active NPI

Floridian Wellness LLC

  • Acupuncturist
  • Coconut Creek, FL
National Provider Identifier
1912856196
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
FLORIDIAN WELLNESS LLC
Practice address
4400 W Sample Rd Ste 240
Coconut Creek, FL 33073-3473
Phone
(754) 326-1127
NPI assigned
Jan 22, 2026
Organization subpart
Yes
Parent organization
FLORIDIAN WELLNESS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Authorized official

Name
Dr. Fred Patrick Della Jacono, DC, APNPI 1154891026
Title
Owner
Phone
(954) 591-7757

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

4400 W Sample Rd Ste 240
Coconut Creek, FL 33073-3473

Mailing address

4400 W Sample Rd Ste 240
Coconut Creek, FL 33073-3473
Phone (754) 326-1127

National Provider Directory

National Provider Directory
Tax ID family
Floridian Wellness LLC2 organizations share this tax ID, including this one
Part of
Floridian Wellness LLC

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1769040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769040000000",
    "number": "1912856196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 W SAMPLE RD STE 240",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330733473",
            "telephone_number": "754-326-1127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 W SAMPLE RD STE 240",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330733473",
            "telephone_number": "754-326-1127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDIAN WELLNESS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FLORIDIAN WELLNESS LLC",
        "enumeration_date": "2026-01-22",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A",
        "authorized_official_last_name": "DELLA JACONO",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-591-7757",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, AP"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coconut Creek, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; 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.