Provider Demographics
NPI:1114965886
Name:ADVANCE HEALTH AND WELLNESS SOLUTIONS INC
Entity Type:Organization
Organization Name:ADVANCE HEALTH AND WELLNESS SOLUTIONS INC
Other - Org Name:PRO ADJUSTER CHIROPRACTIC CLINIC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT CEO
Authorized Official - Prefix:
Authorized Official - First Name:HUMBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:786-360-6355
Mailing Address - Street 1:2724 PONCE DE LEON BLVD
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-6005
Mailing Address - Country:US
Mailing Address - Phone:786-360-6355
Mailing Address - Fax:786-536-4319
Practice Address - Street 1:2724 PONCE DE LEON BLVD
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-6005
Practice Address - Country:US
Practice Address - Phone:786-360-6355
Practice Address - Fax:786-536-4319
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-03
Last Update Date:2012-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center