Provider Demographics
NPI:1932750650
Name:TRUE WELLNESS SYSTEMS, LLC
Entity Type:Organization
Organization Name:TRUE WELLNESS SYSTEMS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LEONARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:SAMALOT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:407-539-4772
Mailing Address - Street 1:1268 MAXIMILLIAN ST
Mailing Address - Street 2:
Mailing Address - City:DELTONA
Mailing Address - State:FL
Mailing Address - Zip Code:32725-6530
Mailing Address - Country:US
Mailing Address - Phone:407-539-4772
Mailing Address - Fax:
Practice Address - Street 1:283 CRANES ROOST BLVD STE 111
Practice Address - Street 2:
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32701-3437
Practice Address - Country:US
Practice Address - Phone:407-539-4772
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-24
Last Update Date:2019-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty