Organization Active NPI

Wellspring Health & Integrative Medicine, LLC

  • Chiropractor
  • Longwood, FL
National Provider Identifier
1588057467
Registry record updated Mar 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH11028 Issued in FL
Legal business name
WELLSPRING HEALTH & INTEGRATIVE MEDICINE, LLC
Practice address
208 Crown Oaks Way
Longwood, FL 32779-5028
Phone
(407) 450-2330
NPI assigned
Mar 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2015

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

Authorized official

Name
Dr. Leonard Alan Rollman, DC
Title
Sole MBR
Phone
(407) 450-2330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH11028 FL Primary

Addresses

Primary practice location

208 Crown Oaks Way
Longwood, FL 32779-5028

Mailing address

208 Crown Oaks Way
Longwood, FL 32779-5028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1426464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426464000000",
    "number": "1588057467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 CROWN OAKS WAY",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327795028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 CROWN OAKS WAY",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327795028",
            "telephone_number": "407-450-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING HEALTH & INTEGRATIVE MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-16",
        "last_updated": "2015-03-16",
        "status": "A",
        "authorized_official_last_name": "ROLLMAN",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "407-450-2330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longwood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2015; 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.