Advanced Spine and Wellness

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

CH 9923 Issued in 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

Last updated

Apr 23, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Clark Jeffrey Lemmon, D.C.NPI 1023292612

Title

President

Phone

(863) 293-0040

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Clark Jeffrey Lemmon, D.C.

  • Chiropractor
  • Winter Haven, FL
  • NPI 1023292612
  NPD Authorized official

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

{
    "created_epoch": "1325203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366675200000",
    "number": "1851661334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 1ST ST S",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803902",
            "telephone_number": "863-293-0040",
            "fax_number": "863-294-1419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 1ST ST S",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803902",
            "telephone_number": "863-293-0040",
            "fax_number": "863-294-1419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SPINE AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-30",
        "last_updated": "2013-04-23",
        "status": "A",
        "authorized_official_last_name": "LEMMON",
        "authorized_official_first_name": "CLARK",
        "authorized_official_middle_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-293-0040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "CH 9923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advance Technological Radiology, PA
• Advanced Orthopedic Surgery
• Advanced Orthopedic Surgery of Celebration, LLC
• Advanced Rehab Clinic of Winter Haven
• Advanced Spine and Wellness
• Vriti Advani, MD
• Adventhealth Bond Clinic, Inc. (AdventHealth Bond Clinic)
• Adventhealth Bond Clinic, Inc. (AdventHealth Bond Clinic)
• Adventhealth Bond Clinic, Inc.
• Adventhealth Polk North Inc (AdventHealth Winter Haven ER)

• Durable Medical Equipment & Medical Supplies in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2013; 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.