Sowalhealth Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SOWALHEALTH INC

Doing business as

Sowal Health & Wellness

Practice address

9375 Emerald Coast Pkwy W Ste 27a
Miramar Beach, FL 32550-7222

Phone

(850) 797-2711

Fax

(850) 396-0587

NPI assigned

Jan 25, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Brian J Petrucci, RPH

Title

President

Phone

(850) 797-2711

Specialties & licenses 1

Addresses

Other names 1

• SOWAL HEALTH & WELLNESS Doing business as

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

{
    "created_epoch": "1674604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674604800000",
    "number": "1720794522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9375 EMERALD COAST PKWY W STE 27A",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "325507222",
            "telephone_number": "850-797-2711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9375 EMERALD COAST PKWY W STE 27A",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "325507222",
            "telephone_number": "850-797-2711",
            "fax_number": "850-396-0587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOWALHEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-25",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A",
        "authorized_official_last_name": "PETRUCCI",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-797-2711",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOWAL HEALTH & WELLNESS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laura Ashley Sims, PHARMD
• Anastasiia D Skorniakova, RBT
• Tanya Nicole Slayter, AG-ACNP
• Dina Smith
• Sowal Pharmacy LLC
• Michael Sparkman
• Jeanne-Marie Stelter
• Ilgi Alia Sutton
• The Hormone Restoration Center
• Anjali Thomas

• Clinic/Center in Miramar Beach, FL
• Providers in Miramar Beach, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; 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.