MEDICARE: WELLSPRING HEALTH - ORANGE CITY, LLC

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	363L00000X	Nurse Practitioner
2	111N00000X	Chiropractor	CH11028	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760930325
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WELLSPRING HEALTH - ORANGE CITY, LLC

Provider Business Mailing Address
First Line	:	2275 N VOLUSIA AVE STE 100
Second Line	:
City	:	ORANGE CITY
State	:	FL
Zip	:	32763-2833
Country	:	US
Telephone Number	:	386-775-6879
Fax Number	:	386-775-0307

Provider Business Practice Location Address
First Line	:	2415 S VOLUSIA AVE STE A2
Second Line	:
City	:	ORANGE CITY
State	:	FL
Zip	:	32763-7623
Country	:	US
Telephone Number	:	386-775-6879
Fax Number	:	386-775-0307

Authorized Official
Title or Position	:	CLINIC MANAGER
Name	:	VERONICA BERRIOS
Credential	:
Telephone Number	:	386-775-6879

Provider Enumeration Date	:	09/13/2016
Last Update Date	:	02/10/2026

Similar Medicare Providers

1174798433 — ORANGE COUNTY NEWBORN MEDICARE CARE PC
Practice Location Address:

3 SAINT STEPHENS PL , SUITE 2
WARWICK, NY
10990-3208

Practice Phone: 845-987-9700
Practice Fax:

1841382561 — KIM A. REDDICK, DC, LLC
Practice Location Address:

2415 S VOLUSIA AVE STE A2
ORANGE CITY, FL
32763-7623

Practice Phone: 386-775-6879
Practice Fax: 386-775-0307

1962565564 — MILAGROS MESA L.M.T.
Practice Location Address:

2415 S VOLUSIA AVE , SUITE A-2
ORANGE CITY, FL
32763-7623

Practice Phone: 386-775-6879
Practice Fax: 386-775-0307

1518231398 — DR. KUMPOL MANASVIGANGKUL D.C.
Practice Location Address:

2415 S VOLUSIA AVE STE A2
ORANGE CITY, FL
32763-7623

Practice Phone: 386-882-8859
Practice Fax:

1760743702 — MS. APRIL LYNN FREEMAN LMT
Practice Location Address:

2415 S VOLUSIA AVE , SUITE A2
ORANGE CITY, FL
32763-7623

Practice Phone: 386-774-6879
Practice Fax: 386-775-0307

1851729388 — DR. LEONARD A. ROLLMAN DC
Practice Location Address:

2415 S VOLUSIA AVE STE A2
ORANGE CITY, FL
32763-7623

Practice Phone: 386-775-6879
Practice Fax: 386-775-0307

Directions to “WELLSPRING HEALTH - ORANGE CITY, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.