| Apopka Wellness Center,inc. | |
|
424 N Park Ave Apopka FL 32712-4152 | |
| (407) 886-0611 | |
| (407) 886-2817 |
| Full Name | Apopka Wellness Center,inc. |
|---|---|
| Speciality | Chiropractor |
| Location | 424 N Park Ave, Apopka, Florida |
| Authorized Official Name and Position | Adlai Steven Green (BOSS) |
| Authorized Official Contact | 4078860611 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Apopka Wellness Center,inc. 424 N Park Ave Apopka FL 32712-4152 Ph: (407) 886-0611 | Apopka Wellness Center,inc. 424 N Park Ave Apopka FL 32712-4152 Ph: (407) 886-0611 |
| NPI Number | 1346420627 |
|---|---|
| Provider Enumeration Date | 11/05/2007 |
| Last Update Date | 10/15/2010 |
| Medicare PECOS PAC ID | 1153529102 |
|---|---|
| Medicare Enrollment ID | O20101014000489 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346420627 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME56047 (Florida) | Secondary |
| 111N00000X | Chiropractor | CH0002710 (Florida) | Primary |
| Provider Name | Adlai S Green |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1760481063 PECOS PAC ID: 8921207549 Enrollment ID: I20101018000879 |
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