C3 Wellness, Llc | |
395 Village Dr, Kissimmee, FL 34759-4012 | |
(407) 914-9168 | |
(407) 337-8005 |
Full Name | C3 Wellness, Llc |
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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 | Ehrentraud J Eichelbaum |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1255518486 PECOS PAC ID: 3779700836 Enrollment ID: I20140813001547 |
Provider Name | Jose E Rivas |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1952588188 PECOS PAC ID: 4284958562 Enrollment ID: I20150114001633 |
Provider Name | Jose Rudy Vargas |
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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 |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1295511525 PECOS PAC ID: 6103270699 Enrollment ID: I20231003001021 |
Provider Name | Brooke Emily Jacobs |
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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 |
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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 |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1871312116 PECOS PAC ID: 9335673474 Enrollment ID: I20241112000787 |
Mailing Address | Practice Location Address |
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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 |