DREAM TEAM WELLNESS LLC NPI 1285311431

NPI Information

  • NPI: 1285311431
  • Provider Name: DREAM TEAM WELLNESS LLC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Doing Business As: SQUAREONE AESTHETICS AND WELLNESS
  • Address: 857 E PARK AVE
    TALLAHASSEE, FL
    ZIP 32301
  • Phone: (850) 765-9923

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NPI Details

DREAM TEAM WELLNESS LLC is a primary care clinic center in Tallahassee, FL. DREAM TEAM WELLNESS LLC NPI is 1285311431. The provider is registered as an organization entity type.
The provider Is Doing Business As Squareone Aesthetics And Wellness.

The provider's business location address is:

857 E PARK AVE
TALLAHASSEE, FL
ZIP 32301-620
Phone: (850) 765-9923
Fax: (904) 339-9322

The provider's authorized official is Timothy Woodfin Walker .
The authorized official title is President and has the following contact phone number (850) 904-6767.

The enumeration date for this NPI number is 6/29/2023 and was last updated on 10/22/2023.

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
1261QP2300XClinic/CenterPrimary CareYes

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

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