MEDICARE: HEALTH AND WELLNESS ASSOCIATES, INC.

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	111N00000X	Chiropractor		FL

General Provider Information

NPI Number	:	1790783421
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTH AND WELLNESS ASSOCIATES, INC.

Provider Business Mailing Address
First Line	:	PO BOX 814385
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33081-4385
Country	:	US
Telephone Number	:	954-920-5020
Fax Number	:	954-920-5020

Provider Business Practice Location Address
First Line	:	2500 HOLLYWOOD BLVD
Second Line	:	STE 201
City	:	HOLLYWOOD
State	:	FL
Zip	:	33020-6615
Country	:	US
Telephone Number	:	954-920-5020
Fax Number	:	954-920-5020

Authorized Official
Title or Position	:	CEO/OWNER
Name	:	DR. RUSSELL ANDREW FICARA
Credential	:	D.C.
Telephone Number	:	954-920-5020

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	07/21/2022

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