| C3 Wellness, Llc | |
|
395 Village Dr, Kissimmee, FL 34759-4012 | |
| (407) 914-9168 | |
| (407) 337-8005 |
| Full Name | C3 Wellness, Llc |
|---|---|
| Type | Facility |
| Speciality | Clinic/center - Multi-specialty |
| Location | 395 Village Dr, Kissimmee, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811490287 | NPI | - | NPPES |
| 024831500 | Medicaid | FL | |
| 112243500 | Medicaid | FL | |
| 113572200 | Medicaid | FL |
| Provider Name | Christopher M Varnum |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1760459200 PECOS PAC ID: 1850368655 Enrollment ID: I20040913000151 |
| Provider Name | Ehrentraud J Eichelbaum |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1255518486 PECOS PAC ID: 3779700836 Enrollment ID: I20140813001547 |
| Provider Name | Jose E Rivas |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1952588188 PECOS PAC ID: 4284958562 Enrollment ID: I20150114001633 |
| Provider Name | Aida Hechavarria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225409410 PECOS PAC ID: 0143513655 Enrollment ID: I20160721000530 |
| Provider Name | Jose Rudy Vargas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487809463 PECOS PAC ID: 0345485611 Enrollment ID: I20200624000512 |
| Provider Name | Elijah Nahova Stewart |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1295511525 PECOS PAC ID: 6103270699 Enrollment ID: I20231003001021 |
| Provider Name | Brooke Emily Jacobs |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659041358 PECOS PAC ID: 7810430444 Enrollment ID: I20240624001315 |
| Provider Name | Elida A Rocha Arroyo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437984515 PECOS PAC ID: 1557892015 Enrollment ID: I20241008002449 |
| Provider Name | Garrett Alexander Williams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871312116 PECOS PAC ID: 9335673474 Enrollment ID: I20241112000787 |
| Provider Name | Kenneth J Guidera |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1922150697 PECOS PAC ID: 2567880628 Enrollment ID: I20250417002998 |
| Provider Name | James Giles |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952192650 PECOS PAC ID: 9436678117 Enrollment ID: I20250527001153 |
| Mailing Address | Practice Location Address |
|---|---|
| C3 Wellness, Llc 2717 Eagle Canyon Dr S, Kissimmee, FL 34746-3170 Ph: (407) 914-9168 | C3 Wellness, Llc 395 Village Dr, Kissimmee, FL 34759-4012 Ph: (407) 914-9168 |