| Wellspring Health, Llc | |
|
701 Ridgewood Ave Unit B Daytona Beach FL 32117-3619 | |
| (386) 238-9092 | |
| (386) 238-9093 |
| Full Name | Wellspring Health, Llc |
|---|---|
| Speciality | Chiropractor |
| Location | 701 Ridgewood Ave Unit B, Daytona Beach, Florida |
| Authorized Official Name and Position | Leonard A. Rollman (CLINIC DIRECTOR) |
| Authorized Official Contact | 3862389092 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellspring Health, Llc 2415 S Volusia Ave Ste A2 Orange City FL 32763-7623 Ph: (386) 775-6879 | Wellspring Health, Llc 701 Ridgewood Ave Unit B Daytona Beach FL 32117-3619 Ph: (386) 238-9092 |
| NPI Number | 1881185494 |
|---|---|
| Provider Enumeration Date | 05/21/2018 |
| Last Update Date | 09/03/2021 |
| Medicare PECOS PAC ID | 1153679360 |
|---|---|
| Medicare Enrollment ID | O20180803002749 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881185494 | NPI | - | NPPES |
| Provider Name | Eugene R Delucia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669423141 PECOS PAC ID: 7719165786 Enrollment ID: I20110621000511 |
| Provider Name | James Earl Clapprood |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1881957496 PECOS PAC ID: 2668619933 Enrollment ID: I20130503000262 |
| Provider Name | Leonard Alan Rollman |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1851729388 PECOS PAC ID: 2466683834 Enrollment ID: I20140327001788 |
| Provider Name | Samuel M. Rosati |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770609554 PECOS PAC ID: 0143391227 Enrollment ID: I20150717001449 |
| Provider Name | Sarah L Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508242124 PECOS PAC ID: 5799092623 Enrollment ID: I20150909003117 |
| Provider Name | Jeffery K Clifton |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1033585823 PECOS PAC ID: 5092063925 Enrollment ID: I20180808002509 |
| Provider Name | Gabriel F Rizzo |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1568944064 PECOS PAC ID: 9133465636 Enrollment ID: I20190103002057 |
| Provider Name | Sara E Lund |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952892986 PECOS PAC ID: 5092128348 Enrollment ID: I20210106002184 |
| Provider Name | Soleil M Doval |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1689070575 PECOS PAC ID: 2567875784 Enrollment ID: I20210107002432 |
| Provider Name | Sheryl A Drew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154096543 PECOS PAC ID: 5991188385 Enrollment ID: I20220817003408 |
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