MEDICARE: TOTAL SPINE & WELLNESS

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	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1851907828
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOTAL SPINE & WELLNESS

Provider Business Mailing Address
First Line	:	709 S HARBOR CITY BLVD STE 110
Second Line	:
City	:	MELBOURNE
State	:	FL
Zip	:	32901-1906
Country	:	US
Telephone Number	:	321-499-4646
Fax Number	:

Provider Business Practice Location Address
First Line	:	709 S HARBOR CITY BLVD STE 110
Second Line	:
City	:	MELBOURNE
State	:	FL
Zip	:	32901-1938
Country	:	US
Telephone Number	:	321-499-4646
Fax Number	:

Authorized Official
Title or Position	:	CEO/CFO
Name	:	JOHN STEWART
Credential	:
Telephone Number	:	813-731-5143

Provider Enumeration Date	:	09/16/2020
Last Update Date	:	12/30/2025

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Directions to “TOTAL SPINE & WELLNESS ” Practice Location

Language	Start Address	Practice Location

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