Organization Active NPI

Family Wellness and Health, LLC

  • Chiropractor
  • Ave Maria, FL
National Provider Identifier
1609578624
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
FAMILY WELLNESS AND HEALTH, LLC
Practice address
5072 Annunciation Cir Ste 310
Ave Maria, FL 34142-9695
Phone
(239) 990-7068
Fax
(239) 471-4964
NPI assigned
Mar 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Authorized official

Name
Duane OlsonNPI 1134427073
Title
President
Phone
(239) 990-7068

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

5072 Annunciation Cir Ste 310
Ave Maria, FL 34142-9695

Mailing address

5072 Annunciation Cir Ste 310
Ave Maria, FL 34142-9695
Phone (239) 990-7068

Other names 1

  • Family Chiropractic and Sports Rehab Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240321002877 FL Part B Supplier - Clinic/Group Practice 2567812944 Receives reassigned benefits from 2 practitioners
Practice locations: Ave Maria, FL

National Provider Directory

National Provider Directory

Locations

5072 Annunciation Cir
Ste 310
Ave Maria, FL 34142
Phone (239) 990-7068

5072 Annunciation Cir
Ste 230
Ave Maria, FL 34142
Phone (239) 990-7068

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1679356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751328000000",
    "number": "1609578624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5072 ANNUNCIATION CIR STE 310",
            "city": "AVE MARIA",
            "state": "FL",
            "postal_code": "341429695",
            "telephone_number": "239-990-7068",
            "fax_number": "239-990-7068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5072 ANNUNCIATION CIR STE 310",
            "city": "AVE MARIA",
            "state": "FL",
            "postal_code": "341429695",
            "telephone_number": "239-990-7068",
            "fax_number": "239-471-4964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY WELLNESS AND HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-21",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "DUANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-990-7068"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Chiropractic and Sports Rehab",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Family Chiropractic and Sports Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ave Maria, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.