Organization Active NPI

M3 Total Wellness, LLC

  • Nutritionist
  • Fort Lauderdale, FL
National Provider Identifier
1962273052
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
Legal business name
M3 TOTAL WELLNESS, LLC
Doing business as
M3 Total Wellness
Practice address
5800 Lakeshore Dr Apt 320
Fort Lauderdale, FL 33312-6621
Phone
(786) 624-9396
NPI assigned
Jan 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Authorized official

Name
Evijohn Jesse Franco, MS, RD, LD/NNPI 1043957053
Title
Owner
Phone
(786) 624-9396

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
NutritionistGroup: 193400000X SINGLE SPECIALTY GROUP 133N00000X Primary

Addresses

Primary practice location

5800 Lakeshore Dr Apt 320
Fort Lauderdale, FL 33312-6621

Mailing address

5800 Lakeshore Dr Apt 320
Fort Lauderdale, FL 33312-6621
Phone (786) 624-9396

Other names 1

  • M3 Total Wellness Doing business as

National Provider Directory

National Provider Directory

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": "1704758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704758400000",
    "number": "1962273052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 LAKESHORE DR APT 320",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333126621",
            "telephone_number": "786-624-9396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 LAKESHORE DR APT 320",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333126621",
            "telephone_number": "786-624-9396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M3 TOTAL WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-09",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A",
        "authorized_official_last_name": "FRANCO",
        "authorized_official_first_name": "EVIJOHN",
        "authorized_official_middle_name": "JESSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-624-9396",
        "authorized_official_credential": "MS, RD, LD/N"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "M3 Total Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.