EXTRACARE & WELLNESS LLC
NPI 1417501040
Family Medicine - Adult Medicine in Orlando, FL

Active since July 31, 2019
1410 N PINE HILLS RD, ORLANDO, FL 32808(321) 246-5358 Get Directions Write a Review

NPPES record last updated: July 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2021, Nov 30, 2020, Jul 31, 2019 (3 updates tracked since 2019).

About Extracare & Wellness Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EXTRACARE & WELLNESS LLC (NPI 1417501040) is a healthcare organization registered as an adult medicine in Orlando, Florida and active in the NPI registry since July 2019. The organization lists Kettia Cadet Cherenfant, Owner, as its authorized official.

NPPES Registry Identity

NPI1417501040
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameEXTRACARE & WELLNESS LLC
Location Address1410 N PINE HILLS RDOrlando, FL 32808-4408
Mailing Address1410 N Pine Hills RdOrlando, FL 32808-4408
Organization SubpartNo
Authorized OfficialKettia Cadet CherenfantOwner · (321) 246-5358
Enumeration DateJuly 31, 2019
Last NPPES UpdateJuly 15, 20213 updates tracked since enumeration
NPPES CertifiedJuly 15, 2021
NPI 1417501040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
1410 N PINE HILLS RD, Orlando, FL 32808

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
1410 N PINE HILLS RD
ORLANDO, FL 32808
Chiropractor
1410 N PINE HILLS RD
ORLANDO, FL 32808

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Extracare & Wellness LLC's NPI number?

The NPI number for Extracare & Wellness LLC is 1417501040. It was assigned to this organization in the NPPES registry on July 31, 2019.

Where is Extracare & Wellness LLC located?

Extracare & Wellness LLC is located at 1410 N Pine Hills Rd, Orlando, FL 32808. The listed phone number is (321) 246-5358.

What is Extracare & Wellness LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

When was this NPI record last updated?

The NPPES record for Extracare & Wellness LLC was last updated on July 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.