Healthcare Provider Details

I. General information

NPI: 1922927847
Provider Name (Legal Business Name): WELLNESS TECHNOLOGIES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4915 NW 43RD ST
GAINESVILLE FL
32606-4460
US

IV. Provider business mailing address

12555 BISCAYNE BLVD # 1251
NORTH MIAMI FL
33181-2522
US

V. Phone/Fax

Practice location:
  • Phone: 786-578-0400
  • Fax: 352-224-9264
Mailing address:
  • Phone: 786-578-0400
  • Fax: 352-224-9264

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MS. ALISHA CHAUDHURI
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 732-343-1948