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WELLNESS WORX CENTER PLLC NPI 1871819870


NPI Information

NPI: 1871819870
Provider Name: WELLNESS WORX CENTER PLLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
2495 ENTERPRISE RD
STE104
CLEARWATER, FL
ZIP 33763
Phone: (727) 474-9729
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WELLNESS WORX CENTER PLLC is a chiropractor in Clearwater, FL. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. WELLNESS WORX CENTER PLLC NPI is 1871819870. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2495 ENTERPRISE RD
STE104
CLEARWATER, FL
ZIP 33763-795
Phone: (727) 474-9729
Fax: (727) 474-9947

The provider's authorized official is Glen Charles Pettersen .
The authorized official title is Owner and has the following contact phone number (727) 474-9729.

The enumeration date for this NPI number is 4/15/2010 and was last updated on 4/15/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractorCH8772FLORIDANo
2111N00000XChiropractorCH8923FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
19067913OTHERFLORIDACIGNA
21538210OTHERFLORIDAAETNA
31147626OTHERFLORIDAFIRST HEALTH
41038157OTHERFLORIDAAMERICAN SPECIALTY HEALTH
5656080OTHERFLORIDAUNITED HEALTH CARE
671494OTHERFLORIDABLUE CROSS BLUE SHIELD OF FL

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: 11/14/2023

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