Healthcare Provider Details

I. General information

NPI: 1013848324
Provider Name (Legal Business Name): FIRST LINE HEALTH & WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9225 ULMERTON RD STE 306
LARGO FL
33771-3708
US

IV. Provider business mailing address

9225 ULMERTON RD STE 306
LARGO FL
33771-3708
US

V. Phone/Fax

Practice location:
  • Phone: 813-330-0153
  • Fax: 727-386-4090
Mailing address:
  • Phone: 813-330-0153
  • Fax: 727-386-4090

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: KEVIN ROSARIO
Title or Position: CHIROPRACTOR/OWNER
Credential: DC
Phone: 917-495-9377