MEDICARE: CROWN & CARE WELLNESS STUDIO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	376K00000X	Nurse's Aide

General Provider Information

NPI Number	:	1164377644
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CROWN & CARE WELLNESS STUDIO

Provider Business Mailing Address
First Line	:	5256 ABAGAIL DR
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34608-1801
Country	:	US
Telephone Number	:	813-947-2550
Fax Number	:

Provider Business Practice Location Address
First Line	:	18626 CORTEZ BLVD
Second Line	:
City	:	BROOKSVILLE
State	:	FL
Zip	:	34601-9012
Country	:	US
Telephone Number	:	813-947-2550
Fax Number	:

Authorized Official
Title or Position	:	CNA
Name	:	KELLY N MARTINEZ
Credential	:
Telephone Number	:	813-947-2550

Provider Enumeration Date	:	03/02/2026
Last Update Date	:	03/02/2026

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Directions to “CROWN & CARE WELLNESS STUDIO ” Practice Location

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