Healthcare Provider Details

I. General information

NPI: 1982051801
Provider Name (Legal Business Name): NEW DAY WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2016
Last Update Date: 08/16/2024
Certification Date: 08/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7701 SW 56TH AVE
GAINESVILLE FL
32608-4406
US

IV. Provider business mailing address

1415 FORT CLARKE BLVD
GAINESVILLE FL
32606-7181
US

V. Phone/Fax

Practice location:
  • Phone: 352-215-9106
  • Fax: 866-631-2029
Mailing address:
  • Phone: 877-639-1177
  • Fax: 866-631-2029

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BRUCE GERARD SACK
Title or Position: OWNER
Credential: PT
Phone: 352-215-9106