Advanced Spine and Wellness

Organization Active NPI Durable Medical Equipment & Medical Supplies · Winter Haven, FL

NPI 1851661334 · NPPES record last updated Apr 23, 2013

Key facts

NPI: 1851661334
Entity type: Organization (NPI type 2)
Primary specialty: Durable Medical Equipment & Medical Supplies 332B00000X
License: CH 9923 (FL)
Legal business name: ADVANCED SPINE AND WELLNESS
Practice address: 1125 1St St S
Winter Haven, FL 33880-3902
Phone: (863) 293-0040
Fax: (863) 294-1419
NPI assigned: Dec 30, 2011
Organization subpart: No

Authorized official

Name: Dr. Clark Jeffrey Lemmon, D.C.
Title: President
Phone: (863) 293-0040

Practitioners 1

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

Clark Jeffrey Lemmon, D.C. Chiropractor · Winter Haven, FL · NPI 1023292612

NPD

National Provider Directory

Locations

1012 6th St NW
Winter Haven, FL 33881
Phone (863) 293-0040

1125 1st St S
Winter Haven, FL 33880
Phone (863) 293-0040

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Durable Medical Equipment & Medical Supplies	332B00000X	CH 9923	FL	Yes

Addresses

Primary practice location

1125 1St St S
Winter Haven, FL 33880-3902

Mailing address

1125 1St St S
Winter Haven, FL 33880-3902
Phone (863) 293-0040

Other providers in Winter Haven, FL

All providers in Winter Haven, FL · Durable Medical Equipment & Medical Supplies in Florida

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2013. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.