Provider Demographics
NPI:1790783421
Name:HEALTH AND WELLNESS ASSOCIATES, INC.
Entity Type:Organization
Organization Name:HEALTH AND WELLNESS ASSOCIATES, INC.
Other - Org Name:LIFE CENTER FOR HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RUSSELL
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:FICARA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:954-920-5020
Mailing Address - Street 1:PO BOX 814385
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33081-4385
Mailing Address - Country:US
Mailing Address - Phone:954-920-5020
Mailing Address - Fax:954-920-5020
Practice Address - Street 1:2500 HOLLYWOOD BLVD
Practice Address - Street 2:STE 201
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020-6615
Practice Address - Country:US
Practice Address - Phone:954-920-5020
Practice Address - Fax:954-920-5020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty