Provider Demographics
NPI:1033324835
Name:INFINITE HEALTH & WELLNESS INC
Entity Type:Organization
Organization Name:INFINITE HEALTH & WELLNESS INC
Other - Org Name:PROSPERITY HEALTH FICTITIOUS NAME G07003900517
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CASSANDRA
Authorized Official - Middle Name:LYNNE
Authorized Official - Last Name:CURLEY
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:407-719-8883
Mailing Address - Street 1:1464 WHITEHALL BLVD
Mailing Address - Street 2:
Mailing Address - City:WINTER SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32708-6120
Mailing Address - Country:US
Mailing Address - Phone:407-719-8883
Mailing Address - Fax:
Practice Address - Street 1:1464 WHITEHALL BLVD
Practice Address - Street 2:
Practice Address - City:WINTER SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32708-6120
Practice Address - Country:US
Practice Address - Phone:407-719-8883
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2008-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA35108171W00000X
FLMA27174171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Single Specialty