1801131263 NPI number — WORLD HEALTH WELLNESS, INCORPORATED

Table of content: (NPI 1801131263)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1801131263 NPI number — WORLD HEALTH WELLNESS, INCORPORATED

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WORLD HEALTH WELLNESS, INCORPORATED
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1801131263
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/11/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
927 S GOLDWYN AVE
Provider Second Line Business Mailing Address:
UNIT 220
Provider Business Mailing Address City Name:
ORLANDO
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32805-4324
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
407-574-8542
Provider Business Mailing Address Fax Number:
407-442-2071

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
927 S GOLDWYN AVE
Provider Second Line Business Practice Location Address:
UNIT 220
Provider Business Practice Location Address City Name:
ORLANDO
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32805-4324
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
407-574-8542
Provider Business Practice Location Address Fax Number:
407-442-2071
Provider Enumeration Date:
12/11/2012

Additional Information

Authorized Official

Authorized Official Last Name:
SMITH
Authorized Official First Name:
SADAT
Authorized Official Middle Name:
MALIK KWABENA
Authorized Official Title or Position:
CHIROPRACTIC NEUROLOGIST/OWNER
Authorized Official Telephone Number:
407-574-8542

Provider Taxonomy Codes

  • Taxonomy code: 111NN0400X , with the licence number:  CH7867 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 381446700 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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