Healthcare Provider Details

I. General information

NPI: 1427926435
Provider Name (Legal Business Name): GATORS SPINE & WELLNESS CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/29/2025
Last Update Date: 11/14/2025
Certification Date: 11/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3201 SW 42ND ST STE 3
GAINESVILLE FL
32608-2441
US

IV. Provider business mailing address

3201 SW 42ND ST STE 3
GAINESVILLE FL
32608-2441
US

V. Phone/Fax

Practice location:
  • Phone: 352-776-8899
  • Fax: --
Mailing address:
  • Phone: 352-776-8899
  • Fax: --

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. WENDY L. FLYNN
Title or Position: PRES.
Credential: D.C.
Phone: 224-515-6255