Nuvo Wellness & Recovery LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

NUVO WELLNESS & RECOVERY LLC

Practice address

1400 N Hwy A1A Ste 105
Indialantic, FL 32903-2736

Phone

(321) 914-3381

NPI assigned

Jul 13, 2021

Last updated

Jul 13, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Djunot Destina

Title

Owner

Phone

(321) 914-3381

Specialties & licenses 3

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626134400000",
    "number": "1972175529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 N HWY A1A STE 105",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "329032736",
            "telephone_number": "321-914-3381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N HWY A1A STE 105",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "329032736",
            "telephone_number": "321-914-3381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUVO WELLNESS & RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-13",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A",
        "authorized_official_last_name": "DESTINA",
        "authorized_official_first_name": "DJUNOT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-914-3381"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EclinicalWorks",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "address_1": "1400 N Hwy A1A Ste 105",
            "city": "Indialantic",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329032736",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; 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.