PIVOTAL HEALTH AND WELLNESS, INC. (NPI# 1477185882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477185882 |
| Entity Type | Organization |
| Organization Name | PIVOTAL HEALTH AND WELLNESS, INC. |
| Practice Address |
2290 10th Ave N Ste 102 Lake Worth FL 33461-6609 |
| Practice Telephone | 5614344900 |
| Mailing Telephone | 5614344900 |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2020-02-05 |
| Authorized Official Name | DR. DARREN LASTOFSKY (OWNER) |
| Authorized Official Telephone | 5614344900 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | Chiropractic Providers | ||
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Street Address |
2290 10TH AVE N STE 102 |
| City | LAKE WORTH |
| State | FL |
| Zip Code | 33461-6609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174167993 | Pcc Medical Holdings LLC | Health Maintenance Organization | 5055 South Congress Avenue, Suite 303, Lake Worth, FL 33461 | 2019-11-05 |
| 1841849692 | Five Star Medical Group Inc | Clinic/Center | 4300 10th Ave North, Suite 2, Lake Worth, FL 33461 | 2019-09-04 |
| 1346894375 | Patrick Pierre Jr. | Behavioral Analyst | 2430 Lake Worth Rd, Apt 2306, Lake Worth, FL 33461 | 2019-07-29 |
| 1740842699 | Amanda Shaw | Massage Therapist | 822 Lynnwood Dr, Lake Worth, FL 33461 | 2019-07-01 |
| 1043706005 | Elina Aguero Arman | Case Manager/Care Coordinator | 420 Alemeda Dr, Palm Springs, FL 33461 | 2018-07-02 |
| 1275028656 | Cagigas Dental Services Inc | Clinic/Center | 2311 10th Avenue North Suite 14, Lake Worth, FL 33461 | 2018-06-27 |
| 1972028447 | Annette Daley | Behavior Technician | 3595 2nd Ave North, Palm Springs, FL 33461 | 2017-08-07 |
| 1104349471 | Safe At Home Health Care, LLC | In Home Supportive Care | 555 Purdy Ln. #215, Palm Springs, FL 33461 | 2017-07-19 |
| 1609307271 | Yadira Perera | Assistant Behavior Analyst | 500 Davis Rd 42a, Palm Springs, FL 33461 | 2017-03-24 |
| 1982155842 | Palm Beach Addiction Center, Inc | Substance Abuse Rehabilitation Facility | 4196 Lake Worth Road, Lake Worth, FL 33461 | 2016-10-17 |
| Find all providers in zip 33461 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134593429 | Advanced Children's Therapy, Inc. | Clinic/Center | 2119 10th Ave N, Lake Worth, FL 33461-3345 | 2015-11-24 |
| 1972891935 | Lucia Medical Center Inc | Clinic/Center | 1201 S Federal Hwy Ste A, Lake Worth, FL 33460-5644 | 2011-07-12 |
| 1891913281 | World Health Association Inc | Clinic/Center | 2887 Lake Worth Rd, Lake Worth, FL 33461-4127 | 2007-04-23 |
| 1417082454 | Service Pain Healing Labra Inc | Clinic/Center | 230 S Dixie Hwy, Suite 102, Lake Worth, FL 33460-4154 | 2007-02-22 |
| 1073679056 | Service Healing Clinic Inc. | Clinic/Center | 4300 10th Ave N, Suite 3, Lake Worth, FL 33461-2322 | 2006-12-28 |
| 1992865240 | New Life of West Palm, Inc | Clinic/Center | 3767 Lake Worth Rd, 102, Lake Worth, FL 33461-4048 | 2006-12-09 |
| 1912505066 | Universiity Imaging Center LLC | Clinic/Center | 325 S Dixie Hwy Ste 7, Lake Worth, FL 33460-4423 | 2020-10-12 |
| 1962860460 | Aids Healthcare Foundation | Clinic/Center | 1520 10th Ave N, Suite A, Lake Worth, FL 33460-2069 | 2016-01-29 |
| 1376987032 | All Care Family Health, LLC | Clinic/Center | 4259 10th Ave N, Lake Worth, FL 33461-2323 | 2013-04-24 |
| 1477838159 | Bashir U Shaikh Md Pa | Clinic/Center | 3918 Via Poinciana, Suite 10, Lake Worth, FL 33467-2991 | 2011-10-13 |
| Find all providers in LAKE WORTH | ||||
| City | LAKE WORTH |
| Zip Code | 33461 |
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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.