TYMINSKI MODERN WELLNESS LLC NPI 1265310460

NPI Information

  • NPI: 1265310460
  • Provider Name: TYMINSKI MODERN WELLNESS LLC
  • Classification: Clinic/Center - 261QI0500X
  • Specialization: Infusion Therapy
  • Entity Type: Organization
  • Address: 400 N ORLANDO AVE STE 113
    MAITLAND, FL
    ZIP 32751
  • Phone: (407) 232-6044

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NPI Details

TYMINSKI MODERN WELLNESS LLC is an infusion therapy clinic center in Maitland, FL. TYMINSKI MODERN WELLNESS LLC NPI is 1265310460. The provider is registered as an organization entity type.

The provider's business location address is:

400 N ORLANDO AVE STE 113
MAITLAND, FL
ZIP 32751-705
Phone: (407) 232-6044

The provider's authorized official is Keith Tyminski .
The authorized official title is Owner and has the following contact phone number (407) 844-0552.

The enumeration date for this NPI number is 8/25/2025 and was last updated on 8/25/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QI0500XClinic/CenterInfusion TherapyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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