Dynamic Wellness NP LLC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

DYNAMIC WELLNESS NP LLC

Practice address

8245 County Road 44 Leg a Ste 1
Leesburg, FL 34788-3751

Phone

(352) 204-8904

Fax

(949) 703-7406

NPI assigned

Sep 12, 2025

Organization subpart

No

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

Authorized official

Name

Ms. Wendy Beth Clow, ARNP

Title

Provider

Phone

(352) 204-8904

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1757635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757635200000",
    "number": "1619848892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8245 COUNTY ROAD 44 LEG A STE 1",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347883751",
            "telephone_number": "352-204-8904",
            "fax_number": "949-703-7406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8245 COUNTY ROAD 44 LEG A STE 1",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347883751",
            "telephone_number": "352-204-8904",
            "fax_number": "949-703-7406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC WELLNESS NP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-12",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A",
        "authorized_official_last_name": "CLOW",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "352-204-8904",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristin Dugan, AU.D.
• Jaylin Dunn
• Michael V Durante, DC
• Laura Hoey Durbano, PT
• Dvine Counseling Services LLC
• Charles E Earnhardt, DMD
• Amanda Rae Eason, ARNP
• Ed Blanton, DDS, PA
• Cindy Edwards, LMHC
• Gorgious Edwards, RBT

• Primary Care Nurse Practitioner in Leesburg, FL
• Providers in Leesburg, FL by specialty
• Primary Care Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.