| My Bodyworx Wellness Llc | |
|
14560 S Military Trl Ste B4 Delray Beach FL 33484-3794 | |
| (561) 926-9494 | |
| Not Available |
| Full Name | My Bodyworx Wellness Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 14560 S Military Trl Ste B4, Delray Beach, Florida |
| Authorized Official Name and Position | Jon Segal (OWNER) |
| Authorized Official Contact | 5619269494 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| My Bodyworx Wellness Llc 14560 S Military Trl Ste B4 Delray Beach FL 33484-3794 Ph: () - | My Bodyworx Wellness Llc 14560 S Military Trl Ste B4 Delray Beach FL 33484-3794 Ph: (561) 926-9494 |
| NPI Number | 1053996165 |
|---|---|
| Provider Enumeration Date | 03/10/2021 |
| Last Update Date | 04/16/2025 |
| Medicare PECOS PAC ID | 6305238296 |
|---|---|
| Medicare Enrollment ID | O20220127000386 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053996165 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Caryn Ann Tsur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417439472 PECOS PAC ID: 9537401161 Enrollment ID: I20190501002941 |
| Provider Name | Solomon Normatov |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952948846 PECOS PAC ID: 4486065653 Enrollment ID: I20201118002471 |
| Provider Name | Jonathan Barrett Segal |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1346601689 PECOS PAC ID: 7113319005 Enrollment ID: I20220127000480 |
| Provider Name | Gabriela Leon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568918563 PECOS PAC ID: 9638456882 Enrollment ID: I20230308000885 |
| Provider Name | Sanjay Bardwaj |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093184186 PECOS PAC ID: 5597065045 Enrollment ID: I20230823000519 |
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