THE FOURMULA CENTER, LLC (NPI# 1548621030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548621030 |
| Entity Type | Organization |
| Organization Name | THE FOURMULA CENTER, LLC |
| Other Organization Name | THE FOURMULA |
| Practice Address |
5499 N Federal Hwy Boca Raton FL 33487-4993 |
| Practice Telephone | 5616171925 |
| Practice Fax Number | 5616171928 |
| Mailing Telephone | 5616171925 |
| Mailing Fax Number | 5616171928 |
| Enumeration Date | 2016-03-11 |
| Last Update Date | 2017-08-18 |
| Authorized Official Name | MISS ROBIN LEIGH GUTERMAN-PERRY (OWNER/MANAGER) |
| Authorized Official Telephone | 5616171925 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
SW10458 | FL | Ambulatory Health Care Facilities |
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
SW10458 | FL | Ambulatory Health Care Facilities |
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
SW10458 | FL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| The Fourmula | Doing Business As Name - Organization |
| Street Address |
5499 N FEDERAL HWY |
| City | BOCA RATON |
| State | FL |
| Zip Code | 33487-4993 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538127956 | Mark Wiliiam Pittaluga | Optometrist | 5499 N Federal Hwy, Suite E, Boca Raton, FL 33487-4993 | 2006-05-03 |
| 1144644840 | Sean Otterson | Pharmacist | 5499 N Federal Hwy, Boca Raton, FL 33487-4993 | 2014-02-15 |
| 1235183302 | Tender Loving Care Health Care Services of Florida, LLC | Home Health | 5499 N Federal Hwy, Ste G, Boca Raton, FL 33487-4993 | 2006-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386261741 | Kendall Hackenberg | Nurse Practitioner | 810 Nw 82nd Pl, Boca Raton, FL 33487 | 2020-07-01 |
| 1275187015 | Trusted Home Care Agency | Home Health | 1200 S. Rogers Circle, Suite #4, Boca Raton, FL 33487 | 2019-07-30 |
| 1972064475 | West Palm Beac Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 902 Clint Moore Road, Ste 144, Boca Raton, FL 33487 | 2019-03-27 |
| 1386153807 | Michael Christopher Angelillo | Internal Medicine | 1601 Clint Moore Rd Ste 115, Boca Raton, FL 33487 | 2017-09-27 |
| 1942729645 | Ronald Falk | Chiropractor | 6201 N Federal Hwy #5-6, Boca Raton, FL 33487 | 2017-09-13 |
| 1205292653 | Abigail Goodwin Sladek | Nurse Practitioner | 902 Clint Moore Rd # 227, Boca Raton, FL 33487 | 2016-01-14 |
| 1538539879 | Nancy Gonzalez | Dental Hygienist | 904 Clint Moore Rd, Boca Raton, FL 33487 | 2015-09-29 |
| 1083090138 | John Hooper Griscom | Internal Medicine | 3752 Mykonos Court, Boca Raton, FL 33487 | 2015-07-30 |
| 1144600321 | Hear Again LLC | Audiologist-Hearing Aid Fitter | 851 Broken Sound Pkwy Nw Ste 120, Boca Raton, FL 33487 | 2015-06-03 |
| 1457759193 | Element Lab Partners, LLC | Clinical Medical Laboratory | 1101 Holland Dr., Ste. 30, Boca Raton, FL 33487 | 2014-12-11 |
| Find all providers in zip 33487 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083275804 | Jayson Williams Center Inc. | Clinic/Center | 5499 N Federal Hwy Ste Gandl2, Boca Raton, FL 33487-4993 | 2019-06-24 |
| 1003358250 | Academy Health Solutions | Clinic/Center | 1650 S Dixie Highway, 203, Boca Raton, FL 33432-8424 | 2016-11-04 |
| 1710391966 | Pathway 2 Recovery Gold Coast | Clinic/Center | 23116a Sandal Foot Plaza Drive, Boca Raton, FL 33428 | 2014-06-16 |
| 1043631112 | Can't Tell Inc. | Clinic/Center | 712 E Palmetto Park Rd, Boca Raton, FL 33432-5104 | 2013-12-17 |
| 1588199673 | The Rebound Institute, LLC | Clinic/Center | 6853 Sw 18th St, Suite 210, Boca Raton, FL 33433-7056 | 2017-04-26 |
| 1336698679 | Treatment Partners of America | Clinic/Center | 6909 Sw 18th St, Suite A203, Boca Raton, FL 33433-7078 | 2016-09-28 |
| 1447603741 | Sober Investments LLC | Clinic/Center | 21301 Powerline Rd, #311, Boca Raton, FL 33433-2388 | 2016-07-21 |
| 1437524923 | Treatment Partners of America Inc. | Clinic/Center | 6909 Sw 18th St, A203, Boca Raton, FL 33433-7078 | 2015-12-09 |
| 1639577950 | Pathway 2 Recovery Gold Coast, LLC | Clinic/Center | 23116a Sandal Foot Plaza Drive, Boca Raton, FL 33428-6500 | 2014-12-18 |
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| 1205451689 | Inspire of Palm Beach | Clinic/Center | 1803 S Australian Ave, West Palm Beach, FL 33409-6454 | 2020-06-11 |
| 1548882319 | Melrose Institute, LLC | Clinic/Center | 450 W Hillsboro Bvd, Deerfield Bch, FL 33441 | 2020-05-14 |
| 1265054761 | Holistix Treatment Centers, LLC | Clinic/Center | 5311 Lake Worth Rd, Greenacres, FL 33463-3353 | 2020-05-07 |
| 1558908517 | Caring Hands Wellness Center, Inc | Clinic/Center | 3601 W Commercial Blvd Ste 22, Fort Lauderdale, FL 33309-3320 | 2019-12-09 |
| 1750937041 | The Process Treatment Center, LLC | Clinic/Center | 521 Northlake Blvd Ste 1, North Palm Beach, FL 33408-5418 | 2019-08-13 |
| 1053970053 | Alternatives for You, LLC | Clinic/Center | 8895 N Military Trl Ste 101e, West Palm Beach, FL 33410-6262 | 2019-06-12 |
| 1700443520 | American Detox and Wellness Center | Clinic/Center | 12150 Cortez Blvd, Brooksville, FL 34613-5575 | 2019-05-28 |
| 1982268058 | M.a.t. of The Palm Beaches LLC | Clinic/Center | 321 Northlake Blvd Ste 116, North Palm Beach, FL 33408-5410 | 2019-04-24 |
| 1346709151 | Boynton Wellness Center, LLC | Clinic/Center | 200 Knuth Rd Ste 140, Boynton Beach, FL 33436-4640 | 2019-03-19 |
| Find all providers with the same taxonomy | ||||
| City | BOCA RATON |
| Zip Code | 33487 |
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| 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.