Advanced Wellness & Chiropractic Clinic

LBN: Advanced Chiropractic Rehabilitation And Wellness Center
Advanced Wellness & Chiropractic Clinic is an health care organization with primary practice located at 15151 S Us Highway 441 , Summerfield FL 34491-4481. The organization recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Managed Care Organizations / Preferred Provider Organization. Chiropractic Providers / Chiropractor is the primary health care specialty. Advanced Chiropractic Rehabilitation And Wellness Center can be contacted via phone (352) 307-0033, or through Mammana, Thomas Frank via phone (352) 307-0033.

Contact Information

Primary practice address
15151 S Us Highway 441 Summerfield FL 34491-4481
Phone: (352) 307-0033
Fax: (352) 307-1998
Website:
Map and Directions
Authorized official contact:
Name: Mammana, Thomas Frank CHIROPRACTOR
Phone: (352) 307-0033

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH2831 Florida
Managed Care Organizations / Preferred Provider Organization 305R00000X CH2831 New York

Profile Details

NPI number 1255513602
LBN Legal business name Advanced Chiropractic Rehabilitation And Wellness Center
DBA Doing business as Advanced Wellness & Chiropractic Clinic
Authorized official Mammana, Thomas Frank CHIROPRACTOR
Entity Organization
Organization subpart 1 No
Enumeration date Nov 28th, 2007
Last updated Aug 5th, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255513602 NPPES
Florida MEDICAID 3813525-00

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