Provider Demographics
NPI:1114402351
Name:FLORIDA WELLNESS INJURY CENTER
Entity Type:Organization
Organization Name:FLORIDA WELLNESS INJURY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:UNGER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:727-264-8888
Mailing Address - Street 1:2412 COMMERCIAL WAY
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34606-3518
Mailing Address - Country:US
Mailing Address - Phone:727-264-8888
Mailing Address - Fax:
Practice Address - Street 1:2412 COMMERCIAL WAY
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34606-3518
Practice Address - Country:US
Practice Address - Phone:727-264-8888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FLORIDA WELLNESS AND REHAB PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-10-02
Last Update Date:2018-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty