CENTRAL FLORIDA INTEGRATED WELLNESS CLINIC PLLC NPI 1265727861

NPI Information

  • NPI: 1265727861
  • Provider Name: CENTRAL FLORIDA INTEGRATED WELLNESS CLINIC PLLC
  • Classification: Anesthesiology - 207LP2900X
  • Specialization: Pain Medicine
  • Entity Type: Organization
  • Address: 500 E HORATIO AVE
    SUITE 5
    MAITLAND, FL
    ZIP 32751
  • Phone: (407) 629-5333

Map and Directions

Get Directions

NPI Details

CENTRAL FLORIDA INTEGRATED WELLNESS CLINIC PLLC is a pain medicine anesthesiology in Maitland, FL. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. CENTRAL FLORIDA INTEGRATED WELLNESS CLINIC PLLC NPI is 1265727861. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

500 E HORATIO AVE
SUITE 5
MAITLAND, FL
ZIP 32751-310
Phone: (407) 629-5333
Fax: (407) 629-5343

The provider's authorized official is Channing C. Bolick .
The authorized official title is Mgr and has the following contact phone number (407) 629-5333.

The enumeration date for this NPI number is 6/13/2011 and was last updated on 6/13/2011.

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
1111N00000XChiropractorCH7882FLORIDANo
2207LP2900XAnesthesiologyPain MedicineME45785FLORIDAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.