Provider Demographics
NPI:1841508629
Name:WELLS, DOROTHY S (AP)
Entity type:Individual
Prefix:
First Name:DOROTHY
Middle Name:S
Last Name:WELLS
Suffix:
Gender:F
Credentials:AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1420 NW 40TH TER
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32605-4655
Mailing Address - Country:US
Mailing Address - Phone:305-608-9243
Mailing Address - Fax:
Practice Address - Street 1:1420 NW 40TH TER
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32605-4655
Practice Address - Country:US
Practice Address - Phone:305-608-9243
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-15
Last Update Date:2020-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP2884171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist