Active NPI
Wellspring Health - New Smyrna Beach, LLC
- Chiropractor
- New Smyrna Beach, FL
National Provider Identifier
1831828904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- WELLSPRING HEALTH - NEW SMYRNA BEACH, LLC
- Practice address
- 510 Palmetto St
New Smyrna Beach, FL 32168-7325 - Phone
- (386) 775-6879
- Fax
- (386) 775-0307
- NPI assigned
- Jun 6, 2022
- Organization subpart
- No
NPPES NPI Registry
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
- Clinic Director
- Phone
- (407) 450-2330
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary | ||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
510 Palmetto St
New Smyrna Beach, FL 32168-7325
Mailing address
2415 S Volusia Ave Ste A2
Orange City, FL 32763-7623
Phone (386) 775-6879
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654473600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1654473600000",
"number": "1831828904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2415 S VOLUSIA AVE STE A2",
"city": "ORANGE CITY",
"state": "FL",
"postal_code": "327637623",
"telephone_number": "386-775-6879",
"fax_number": "386-775-0307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 PALMETTO ST",
"city": "NEW SMYRNA BEACH",
"state": "FL",
"postal_code": "321687325",
"telephone_number": "386-775-6879",
"fax_number": "386-775-0307"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLSPRING HEALTH - NEW SMYRNA BEACH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-06",
"last_updated": "2022-06-06",
"certification_date": "2022-06-06",
"status": "A",
"authorized_official_last_name": "ROLLMAN",
"authorized_official_first_name": "LEONARD",
"authorized_official_middle_name": "ALAN",
"authorized_official_title_or_position": "CLINIC DIRECTOR",
"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": null,
"license": null,
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Smyrna Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.