WELLNESS FIRM LLC NPI 1679226286

NPI Information

WELLNESS FIRM LLC is a clinic center in Clearwater, FL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). WELLNESS FIRM LLC NPI is 1679226286. The provider is registered as an organization entity type.

The provider's business location address is:

29817 US HIGHWAY 19 N
CLEARWATER, FL
ZIP 33761-527
Phone: (727) 431-6869

The provider's authorized official is Vincent Supernor .
The authorized official title is Owner and has the following contact phone number (727) 410-4828.

The CLIA number assigned to this NPI record is 10D2254504 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/2/2022 and was last updated on 2/8/2022.

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:

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