Organization Active NPI

Socal Wellness Inc

  • Health Service Clinic/Center
  • Lake Worth, FL
National Provider Identifier
1932555331
Registry record updated May 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
ME 55819 Issued in FL
Legal business name
SOCAL WELLNESS INC
Practice address
1028 N Federal Hwy Ste 100
Lake Worth, FL 33460-2352
Phone
(614) 203-4646
NPI assigned
May 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2016

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

Authorized official

Name
Franco Policaro
Title
Ceo
Phone
(614) 203-4646

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X ME 55819 FL Primary

Addresses

Primary practice location

1028 N Federal Hwy Ste 100
Lake Worth, FL 33460-2352

Mailing address

1028 N Federal Hwy Ste 100
Lake Worth, FL 33460-2352

National Provider Directory

National Provider Directory

Locations

1028 N Federal Hwy
Ste 100
Lake Worth, FL 33460
Phone (614) 203-4646

NPI Registry JSON

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462320000000",
    "number": "1932555331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 N FEDERAL HWY STE 100",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334602352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 N FEDERAL HWY STE 100",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334602352",
            "telephone_number": "614-203-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCAL WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-04",
        "last_updated": "2016-05-04",
        "status": "A",
        "authorized_official_last_name": "POLICARO",
        "authorized_official_first_name": "FRANCO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "614-203-4646"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "ME 55819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; 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.