Provider Demographics
NPI:1578325536
Name:INFINITE WELLNESS CENTERS INC
Entity Type:Organization
Organization Name:INFINITE WELLNESS CENTERS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF BILLING & ADMIN
Authorized Official - Prefix:MRS
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:KOLAXIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-491-4480
Mailing Address - Street 1:4025 TAMPA RD STE 1106
Mailing Address - Street 2:
Mailing Address - City:OLDSMAR
Mailing Address - State:FL
Mailing Address - Zip Code:34677-3213
Mailing Address - Country:US
Mailing Address - Phone:813-491-4480
Mailing Address - Fax:813-315-7233
Practice Address - Street 1:4025 TAMPA RD STE 1106
Practice Address - Street 2:
Practice Address - City:OLDSMAR
Practice Address - State:FL
Practice Address - Zip Code:34677-3213
Practice Address - Country:US
Practice Address - Phone:813-491-4480
Practice Address - Fax:813-315-7233
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-25
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes202D00000XAllopathic & Osteopathic PhysiciansIntegrative MedicineGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty