Organization Active NPI

Health 1 Wellness Center

  • Pain Medicine Physician
  • Miami, FL
National Provider Identifier
1942513213
Registry record updated Jul 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
OS 9465 Issued in FL
Legal business name
HEALTH 1 WELLNESS CENTER
Practice address
700 Ives Dairy Rd
Miami, FL 33179-2425
Phone
(305) 690-9784
Fax
(305) 690-9788
NPI assigned
Jul 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2010

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

Authorized official

Name
Mr. Michael John Goulet, BUSINESS OWNER
Title
Ceo
Phone
(305) 690-9784

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0000X OS 9465 FL Primary

Addresses

Primary practice location

700 Ives Dairy Rd
Miami, FL 33179-2425

Mailing address

700 Ives Dairy Rd
Miami, FL 33179
Phone (305) 690-9784

National Provider Directory

National Provider Directory

Locations

700 Ives Dairy Rd
North Miami Beach, FL 33179
Phone (305) 917-9170

NPI Registry JSON

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

{
    "created_epoch": "1279152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279152000000",
    "number": "1942513213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 IVES DAIRY RD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33179",
            "telephone_number": "305-690-9784",
            "fax_number": "305-690-9788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 IVES DAIRY RD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331792425",
            "telephone_number": "305-690-9784",
            "fax_number": "305-690-9788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH 1 WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-15",
        "last_updated": "2010-07-15",
        "status": "A",
        "authorized_official_last_name": "GOULET",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-690-9784",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BUSINESS OWNER"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "FL",
            "license": "OS 9465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2010; 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.