Provider Demographics
NPI:1205160504
Name:TRUE WELLNESS, PA
Entity type:Organization
Organization Name:TRUE WELLNESS, PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NORLAN
Authorized Official - Middle Name:ALFONSO
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:213-321-5639
Mailing Address - Street 1:317 SW 96TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33174-2056
Mailing Address - Country:US
Mailing Address - Phone:213-321-5639
Mailing Address - Fax:
Practice Address - Street 1:275 NE 18TH ST
Practice Address - Street 2:#112
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33132-1117
Practice Address - Country:US
Practice Address - Phone:213-321-5639
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-21
Last Update Date:2009-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9505111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty