NPI Code Detail JSON Logo

1447195755 NPI number — DYNAMIC HEALTH & WELLNESS LLC

NPI Number: 1447195755
Health Care Provider/Practitioner: DYNAMIC HEALTH & WELLNESS LLC

Information about “1447195755” NPI (DYNAMIC HEALTH & WELLNESS LLC) exists in 1447195755 in HTML format HTML  |  1447195755 in plain Text format TXT  |  1447195755 in PDF (Portable Document Format) PDF  |  1447195755 in an XML format XML  formats.

NPI Number : 1447195755 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1447195755",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "DYNAMIC HEALTH & WELLNESS LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "7015 N ARMENIA AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TAMPA",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33604-5252",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "813-252-6114",
    "MailingAddressFaxNumber": "813-433-5481",
    "FirstLinePracticeLocationAddress": "7015 N ARMENIA AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "TAMPA",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33604-5252",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "813-252-6114",
    "PracticeLocationAddressFaxNumber": "813-433-5481",
    "EnumerationDate": "04/22/2026",
    "LastUpdateDate": "04/22/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ARGOTE",
    "AuthorizedOfficialFirstName": "WANDA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "VP",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "CPC",
    "AuthorizedOfficialTelephoneNumber": "812-252-6114",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207QG0300X",
          "TaxonomyName": "Geriatric Medicine (Family Medicine) Physician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "208D00000X",
          "TaxonomyName": "General Practice Physician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        }
      ]
    }
  }
}
                
            

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