Provider Demographics
NPI:1033257100
Name:HEALTH FIRST MEDICAL WELLNESS CENTER, INC.
Entity Type:Organization
Organization Name:HEALTH FIRST MEDICAL WELLNESS CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:A
Authorized Official - Last Name:KRETSCHMAR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:727-399-9268
Mailing Address - Street 1:10333 SEMINOLE BLVD STE 11
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33778-4204
Mailing Address - Country:US
Mailing Address - Phone:727-399-9268
Mailing Address - Fax:727-399-0391
Practice Address - Street 1:10333 SEMINOLE BLVD STE 11
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33778-4204
Practice Address - Country:US
Practice Address - Phone:727-399-9268
Practice Address - Fax:727-399-0391
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDCH0004770111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty