PEACEFUL WARRIORS WELLNESS CENTER (NPI# 1083131676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083131676 |
| Entity Type | Organization |
| Organization Name | PEACEFUL WARRIORS WELLNESS CENTER |
| Practice Address |
19 Dr Martin Luther King Jr St S St Petersburg FL 33705 |
| Mailing Address |
19 Dr Martin Luther King Jr St S St Petersburg FL 33705-1616 |
| Practice Telephone | (727) 822-8866 |
| Mailing Telephone | 7278228866 |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2017-08-24 |
| Authorized Official Name | LENA ROBERTS (OWNER) |
| Authorized Official Telephone | 7278228866 |
| Authorized Official Credential | LMT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
MM95712 | FL | Ambulatory Health Care Facilities |
| Street Address |
19 DR MARTIN LUTHER KING JR ST S |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154935781 | Caressa Alice Slocum | Psychologist | 840 Dr M.l.k. Jr St N, St. Petersburg, FL 33705 | 2020-09-01 |
| 1386133015 | Angela Ann Little | Social Worker | 920 Country Club Way S, St Petersburg, FL 33705 | 2018-05-08 |
| 1497279483 | Infinity Health Consultants, LLC. | In Home Supportive Care | 1001 27th Avenue South, St. Petersburg, FL 33705 | 2017-08-01 |
| 1801320528 | Dedicated Senior Medical Center St. Petersburg, LLC. | Non-Pharmacy Dispensing Site | 901 22nd Avenue South, Dedicated Senior Medical Center St. Petersburg, LLC., St. Petersburg, FL 33705 | 2017-04-19 |
| 1790135762 | Robin Dong | Emergency Medicine | 1095 5th Ave N, St. Petersburg, FL 33705 | 2016-06-20 |
| 1437550084 | Community Health Center of Pinellas Inc | Clinic/Center | 612 Dr Martin L King St N, St Petersburg, FL 33705 | 2014-09-12 |
| 1164851754 | Jennifer Carey | Counselor | 11 Mlk Jr St South, St. Petersburg, FL 33705 | 2013-11-05 |
| 1750623997 | Dannaly Reyes Baerga | Physical Medicine & Rehabilitation | 1201 5th Ave N Ste 202, St Petersburg, FL 33705 | 2013-03-26 |
| 1518209055 | Nii Sai Torto | Emergency Medicine | 500 Doctor. M.l.k, Jr. Street North, Ste 303, Saint Petersburg, FL 33705 | 2013-03-22 |
| 1790034635 | Melissa White Kidwell | Physical Therapist | 500 Mlking Street N, Ste 100, St. Petersburg, FL 33705 | 2012-09-06 |
| Find all providers in zip 33705 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336626290 | Occuaptional Health Centers of The Southwest, P.a. | Clinic/Center | 900 Carillon Pkwy Ste 106, St Petersburg, FL 33716-1117 | 2018-07-24 |
| 1477814226 | Primacare Injury Center, Inc. | Clinic/Center | 3236 Mlk St N, St Petersburg, FL 33704-1202 | 2012-06-07 |
| 1841599842 | Sc Physicians LLC | Clinic/Center | 610 7th St S, St Petersburg, FL 33701 | 2011-03-17 |
| 1346455979 | Home Recovery Systems | Clinic/Center | 1346 Eden Isle Blvd Ne, St Petersburg, FL 33704-2417 | 2007-05-14 |
| 1588697775 | Excel Physical Therapy | Clinic/Center | 7500 4th St N, St Petersburg, FL 33702-5410 | 2006-07-09 |
| 1710945704 | Farese Physical Therapy Inc | Clinic/Center | 7005 4th St N, St Petersburg, FL 33702-5909 | 2006-05-02 |
| 1295381119 | Forward Physical Therapy, LLC | Clinic/Center | 3236 Dr Martin Luther King Jr St N, St Petersburg, FL 33704-1202 | 2019-08-15 |
| 1386298172 | Femmempowerment and Advocacy | Clinic/Center | 1405 Dr Martin Luther King Jr St N, St Petersburg, FL 33704-3301 | 2019-07-30 |
| 1366929226 | Occuaptional Health Centers of The Southwest, P.a. | Clinic/Center | 3745 33rd St N Ste A, St Petersburg, FL 33713-1506 | 2018-07-24 |
| 1376920637 | Bay Injury Physical Therapy Inc | Clinic/Center | 4800 4th St N, St Petersburg, FL 33703-3817 | 2015-05-06 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33705 |
Please comment or provide details below to improve the information on PEACEFUL WARRIORS WELLNESS CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.