Provider Demographics
NPI:1467167445
Name:GOOD CARE & WELLNESS LLC
Entity Type:Organization
Organization Name:GOOD CARE & WELLNESS LLC
Other - Org Name:RELIEVE - PAIN AND SPINE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PAIN PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MAXIME
Authorized Official - Middle Name:
Authorized Official - Last Name:DEBROSSE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:689-208-4848
Mailing Address - Street 1:3065 DANIELS RD # 1321
Mailing Address - Street 2:
Mailing Address - City:WINTER GARDEN
Mailing Address - State:FL
Mailing Address - Zip Code:34787-7002
Mailing Address - Country:US
Mailing Address - Phone:689-208-4848
Mailing Address - Fax:689-219-3746
Practice Address - Street 1:6909 OLD HIGHWAY 441 S STE 220
Practice Address - Street 2:
Practice Address - City:MOUNT DORA
Practice Address - State:FL
Practice Address - Zip Code:32757-7039
Practice Address - Country:US
Practice Address - Phone:689-208-4848
Practice Address - Fax:689-219-3746
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-13
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical SpecialtyGroup - Single Specialty
No261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPainGroup - Single Specialty