ADVANCED SPINE AND WELLNESS (NPI# 1851661334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851661334 |
Entity Type | Organization |
Organization Name | ADVANCED SPINE AND WELLNESS |
Practice Address |
1125 1st St S Winter Haven FL 33880-3902 |
Practice Telephone | 8632930040 |
Practice Fax Number | 8632941419 |
Mailing Telephone | 8632930040 |
Mailing Fax Number | 8632941419 |
Enumeration Date | 2011-12-30 |
Last Update Date | 2013-04-23 |
Authorized Official Name | DR. CLARK JEFFREY LEMMON (PRESIDENT) |
Authorized Official Telephone | 8632930040 |
Authorized Official Credential | D.C. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332B00000X | Durable Medical Equipment & Medical Supplies | CH 9923 | FL | Suppliers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306468152 | Advanced Spine and Wellness | Clinic/Center | 176 Thompson Ln Ste 102, Nashville, TN 37211-2468 | 2020-05-15 |
1154736866 | Advanced Spine and Wellness | Chiropractor | 1125 1st St S, Winter Haven, FL 33880-3902 | 2014-06-23 |
1598062523 | Advanced Spine and Wellness | Chiropractor | 1425 W Main St, Suite C, Bozeman, MT 59715-3283 | 2011-02-28 |
Street Address |
1125 1ST ST S |
City | WINTER HAVEN |
State | FL |
Zip Code | 33880-3902 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437148665 | Darrell Fletcher Pierce | Chiropractor | 1125 1st St S, Winter Haven, FL 33880-3902 | 2005-10-20 |
1154736866 | Advanced Spine and Wellness | Chiropractor | 1125 1st St S, Winter Haven, FL 33880-3902 | 2014-06-23 |
1023292612 | Clark Jeffrey Lemmon | Chiropractor | 1125 1st St S, Winter Haven, FL 33880-3902 | 2007-12-19 |
1215059928 | Pierce Clinic of Chiropractic, P.a. | Chiropractor | 1125 1st St S, Winter Haven, FL 33880-3902 | 2007-04-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851896955 | Cheryl Gonzalez | Physical Therapy Assistant | 1601 6th Street Swe, Winter Haven, FL 33880 | 2018-03-29 |
1265950661 | Integrity Prosthetics and Orthotics | Prosthetic/Orthotic Supplier | 135 1st Street South, Winter Haven, FL 33880 | 2017-09-06 |
1912423427 | Stacy Lewis | Counselor | 1943 Ave E Sw, Winter Haven, FL 33880 | 2017-08-16 |
1497275952 | Kleine Pediatrics | Pediatrics | 375 E Central Avenue, Suite 391, Winter Haven, FL 33880 | 2017-06-26 |
1255851457 | Farah N Habib | Dentist | 375 E Central Ave, Suite 361, Winter Haven, FL 33880 | 2017-06-20 |
1356878086 | Congruent Hearts Companions | Home Health | 111 Ave R N.e., Winter, FL 33880 | 2017-05-12 |
1689033201 | Jason Acosta | General Practice | 111 Avenue A Se, Winter Haven, FL 33880 | 2016-02-11 |
1629440573 | National Vision, Inc. | Technician/Technologist | 341 & 343 Cypress Gardens Blvd, Winter Haven, FL 33880 | 2015-10-30 |
1518336825 | Nicole A. Domenech | General Practice | 950 First St. South, Winter Haven, FL 33880 | 2015-09-16 |
1447666417 | Lee Tramell Vickers | Pharmacist | 701 1st Street, Winter Haven, FL 33880 | 2014-07-10 |
Find all providers in zip 33880 |
Taxonomy Code | 332B00000X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386268019 | Pro Services Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1339 Evergreen Ct, Winter Haven, FL 33881-4448 | 2020-05-28 |
1235691007 | Newave Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 331 W Central Ave Ste 225, Winter Haven, FL 33880-2984 | 2019-04-02 |
1740783240 | Total Solutions Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 331 W Central Ave Ste 221, Winter Haven, FL 33880-2977 | 2018-03-12 |
1124568290 | Primary Choice Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 331 W Central Ave Ste 242, Winter Haven, FL 33880-2982 | 2017-03-08 |
1215311477 | Orthotic & Prosthetic Centers, Inc. | Durable Medical Equipment & Medical Supplies | 400 Avenue K Se Ste 7, Winter Haven, FL 33880-4123 | 2015-07-16 |
1699115311 | Community Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 1101 6th St Nw, Winter Haven, FL 33881-4020 | 2013-06-26 |
1003063520 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 884 Cypress Gardens Blvd, Winter Haven, FL 33880-4726 | 2008-08-27 |
1689832404 | Pay Less Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1460 6th St Se, Winter Haven, FL 33880-4505 | 2008-05-29 |
1285831321 | Wheelman Enterprises | Durable Medical Equipment & Medical Supplies | 318 Commerce Ct, Winter Haven, FL 33880-1280 | 2007-07-02 |
1093886921 | Hanger Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 215 1st St N Ste 300a, Winter Haven, FL 33881-4537 | 2006-11-13 |
Find all providers in WINTER HAVEN |
City | WINTER HAVEN |
Zip Code | 33880 |
Please comment or provide details below to improve the information on ADVANCED SPINE AND WELLNESS.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.