Wellb4Life,LLC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Legal business name

WELLB4LIFE,LLC

Practice address

2805 Fruitville Rd
Sarasota, FL 34237-5378

Phone

(415) 404-2567

NPI assigned

Nov 18, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Dr. Colleen Galvin, PA DACM PHD

Title

Manager, Practioner

Phone

(415) 404-2567

Specialties & licenses 3

Addresses

Other names 1

• WELLB4LIFE Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Colleen Marie Galvin, PA NMD DACM PHD

  • Physician Assistant
  • Irvine, CA
  • NPI 1184821464

  Medical

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1731888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732233600000",
    "number": "1215752076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 PARADISE PLZ STE 389",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342396905",
            "telephone_number": "415-404-2567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 FRUITVILLE RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342375378",
            "telephone_number": "415-404-2567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLB4LIFE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-18",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A",
        "authorized_official_last_name": "GALVIN",
        "authorized_official_first_name": "DR. COLLEEN",
        "authorized_official_title_or_position": "MANAGER, PRACTIONER",
        "authorized_official_telephone_number": "415-404-2567",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PA DACM PHD"
    },
    "taxonomies": [
        {
            "code": "2083S0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WELLB4LIFE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Weitzner Yonker & Kaine MD PA
• Bradley Sklar Weitzner, MD
• H Cory Weitzner, MD
• Ronald I Weitzner, MD
• Courtney Welch
• Wellness by Physicians Inc
• Wellness Way South Sarasota LLC
• Wellvia Home Care, L.L.C
• Lindsey Amy Welner, D.O.
• Holleigh Wen

• Medical Physician Assistant in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.