THE REFINERY MEDSPA AND WELLNES, LLC
NPI 1255835211
Clinic/Center - Health Service in West Melbourne, FL

NPI Status: Active since March 22, 2018

Contact Information

4311 NORFOLK PKWY STE 114
WEST MELBOURNE, FL
ZIP 32904
Phone: (321) 722-6200

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  • Organization
  • Clinic/Center
  • Health Service

About THE REFINERY MEDSPA AND WELLNES, LLC

This page provides the complete NPI Profile along with additional information for The Refinery Medspa And Wellnes, Llc, a provider established in West Melbourne, Florida operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1255835211 assigned on March 2018. The practitioner's primary taxonomy code is 261QH0100X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's former legal business name is Panacea Medical Associates, Llc. The authorized official of this NPI record is Mr. Jarrod James Stoldt (President)

NPI
1255835211
Provider Legal Name
THE REFINERY MEDSPA AND WELLNES, LLC
Other Organization Name
PANACEA MEDICAL ASSOCIATES, LLC
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
4311 NORFOLK PKWY STE 114 WEST MELBOURNE, FL 32904
Location Phone
(321) 722-6200
Mailing Address
1115 E RIVER OAKS DR INDIALANTIC, FL 32903
Mailing Phone
(321) 917-2217
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-22-2018
Last Update Date
03-22-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Health Service

Taxonomy Code
261QH0100X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. JARROD JAMES STOLDT

Authorized Official Title
PRESIDENT
Authorized Official Phone
(321) 917-2217

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1255835211
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221051631022
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 0 + 5 + 1 + 6 + 3 + 1 + 0 + 2 + 2 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 11

The NPI number 1255835211 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1750861985 LAUREN LONG NP
Individual
Nurse Practitioner4311 NORFOLK PKWY STE 114
MELBOURNE, FL 32904
(321) 339-1001
1699368829 MICHELLE RENE WOLF APRN
Individual
Nurse Practitioner4311 NORFOLK PKWY STE 114
MELBOURNE, FL 32904
(321) 291-6233
1528738275 JESSICA BARLOW MOALE ARNP-BC
Individual
Nurse Practitioner (Family)4311 NORFOLK PKWY STE 114
WEST MELBOURNE, FL 32904
(954) 803-2837
1013582899MRS. NICOLE WIGGINS NP
Individual
Nurse Practitioner (Family)4311 NORFOLK PKWY STE 114
WEST MELBOURNE, FL 32904
(321) 341-3321

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255835211, enumerated in the NPI registry as an "organization" on March 22, 2018

The provider is located at 4311 Norfolk Pkwy Ste 114 West Melbourne, Fl 32904 and the phone number is (321) 722-6200

This medical organization specializes in Clinic/Center with taxonomy code 261QH0100X with a focus in Health Service

This NPI record was last updated on March 22, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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