Tyminski Modern Wellness LLC

Primary specialty

Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X

Legal business name

TYMINSKI MODERN WELLNESS LLC

Doing business as

Rise Modern Wellness

Practice address

400 N Orlando Ave Ste 113
Maitland, FL 32751-4705

Phone

(407) 232-6044

NPI assigned

Aug 25, 2025

Organization subpart

No

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

Authorized official

Name

Keith Tyminski

Title

Owner

Phone

(407) 844-0552

Specialties & licenses 1

Addresses

Other names 1

• Rise Modern Wellness Doing business as

Locations

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

{
    "created_epoch": "1756080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756080000000",
    "number": "1265310460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N ORLANDO AVE STE 113",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514705",
            "telephone_number": "407-232-6044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N ORLANDO AVE STE 113",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514705",
            "telephone_number": "407-232-6044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYMINSKI MODERN WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-25",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A",
        "authorized_official_last_name": "TYMINSKI",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-844-0552"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rise Modern Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Trotter, MA
• Trust & Hope LLC
• Trust & Hope LLC
• Kelly C Tucker, ARNP
• Kelly Michelle Turan, ARNP
• Tameshia Tyson
• Uche Ukeagu
• Ultrasound Imaging Solutions Inc.
• Kristen Umholtz, MA, LMHC
• Unfold Counseling and Wellness Center

• Infusion Therapy Clinic/Center in Maitland, FL
• Providers in Maitland, FL by specialty
• Infusion Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; 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.