Provider Demographics
NPI:1497949747
Name:RETURN TO WELLNESS LLC
Entity Type:Organization
Organization Name:RETURN TO WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MAIN OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:PENA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:305-331-6854
Mailing Address - Street 1:6075 SUNSET DR
Mailing Address - Street 2:4TH FLOOR
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-5000
Mailing Address - Country:US
Mailing Address - Phone:786-299-5290
Mailing Address - Fax:786-348-2090
Practice Address - Street 1:6075 SUNSET DR
Practice Address - Street 2:4TH FLOOR
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-5000
Practice Address - Country:US
Practice Address - Phone:786-299-5290
Practice Address - Fax:786-348-2090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-29
Last Update Date:2012-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9373111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty