Provider Demographics
NPI:1639826795
Name:INSPIRE TOTAL WELLNESS, LLC
Entity Type:Organization
Organization Name:INSPIRE TOTAL WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOANNE
Authorized Official - Middle Name:MICHELE
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:352-608-4123
Mailing Address - Street 1:34323 SUNRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:RIDGE MANOR
Mailing Address - State:FL
Mailing Address - Zip Code:33523-8946
Mailing Address - Country:US
Mailing Address - Phone:352-608-4123
Mailing Address - Fax:888-809-1971
Practice Address - Street 1:5036 7TH ST
Practice Address - Street 2:
Practice Address - City:ZEPHYRHILLS
Practice Address - State:FL
Practice Address - Zip Code:33542-2132
Practice Address - Country:US
Practice Address - Phone:352-608-4123
Practice Address - Fax:888-809-1971
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-08
Last Update Date:2022-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLY0JX5OtherBCBS
FL9307900Medicaid