Healthcare Provider Details

I. General information

NPI: 1508671355
Provider Name (Legal Business Name): THE WELL SOCIETY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2025
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3813 SWINDELL RD
LAKELAND FL
33810-2813
US

IV. Provider business mailing address

3813 SWINDELL RD
LAKELAND FL
33810-2813
US

V. Phone/Fax

Practice location:
  • Phone: 269-449-8484
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: OLIVIA KNIGHT
Title or Position: DOCTOR OF CHIROPRACTIC
Credential: DC
Phone: 269-449-8484