Provider Demographics
NPI:1376846444
Name:NEW HOPE CHIROPRACTIC WELLNESS CENTER, INC
Entity Type:Organization
Organization Name:NEW HOPE CHIROPRACTIC WELLNESS CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROSLYN
Authorized Official - Middle Name:DELORES
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:407-293-8890
Mailing Address - Street 1:4100 EDGEWATER DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32804-2205
Mailing Address - Country:US
Mailing Address - Phone:407-293-8890
Mailing Address - Fax:407-293-8891
Practice Address - Street 1:4100 EDGEWATER DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32804-2205
Practice Address - Country:US
Practice Address - Phone:407-293-8890
Practice Address - Fax:407-293-8891
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-13
Last Update Date:2010-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center