| Floridian Wellness Llc | |
|
4400 W Sample Rd Ste 240, Coconut Creek, FL 33073-3473 | |
| (954) 591-7757 | |
| Not Available |
| Full Name | Floridian Wellness Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 4400 W Sample Rd Ste 240, Coconut Creek, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114723541 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| 171100000X | Acupuncturist | (* (Not Available)) | Secondary |
| Provider Name | Fred P Della Jacono |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1154891026 PECOS PAC ID: 2062935851 Enrollment ID: I20250402002154 |
| Mailing Address | Practice Location Address |
|---|---|
| Floridian Wellness Llc 4400 W Sample Rd Ste 240, Coconut Creek, FL 33073-3473 Ph: (754) 326-1127 | Floridian Wellness Llc 4400 W Sample Rd Ste 240, Coconut Creek, FL 33073-3473 Ph: (954) 591-7757 |
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