Healthcare Provider Details

I. General information

NPI: 1043157894
Provider Name (Legal Business Name): IWELL HEALTH AND WELLNESS CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 E ROBERTSON ST
BRANDON FL
33511-5253
US

IV. Provider business mailing address

16350 BRUCE B DOWNS BLVD # 46794
TAMPA FL
33647-3207
US

V. Phone/Fax

Practice location:
  • Phone: 656-216-6777
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: SHERANI SEALEY
Title or Position: OWNER
Credential: NP
Phone: 656-216-6777