Provider Demographics
NPI:1073560322
Name:WELLNESS2, P.L.
Entity Type:Organization
Organization Name:WELLNESS2, P.L.
Other - Org Name:EAST ORANGE WELLNESS AND INJURY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:WERNER
Authorized Official - Last Name:FEITER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:407-382-2425
Mailing Address - Street 1:3020 LAMBERTON BLVD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32825
Mailing Address - Country:US
Mailing Address - Phone:407-382-2425
Mailing Address - Fax:407-382-5286
Practice Address - Street 1:3020 LAMBERTON BLVD
Practice Address - Street 2:SUITE 105
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32825
Practice Address - Country:US
Practice Address - Phone:407-382-2425
Practice Address - Fax:407-382-5286
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-30
Last Update Date:2011-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8791111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty