NPI 1154736866 · live from the CMS NPI Registry
Advanced Spine And Wellness
Chiropractor, Neurology in Winter Haven, FL. National Provider Identifier 1154736866, active.
NPI record
| NPI | 1154736866 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor, Neurology 111NN0400X |
| Practice location | 1125 1st St S, Winter Haven, FL 33880 |
| Practice phone | 863-293-0040 |
| Enumerated | June 23, 2014 |
| Last updated | June 23, 2014 |
| Authorized official | Clark Lemmon, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor, Neurology primary | 111NN0400X | Ch9923 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.