Healthcare Provider Details

I. General information

NPI: 1699646760
Provider Name (Legal Business Name): AIRMED WELLNESS CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2025
Last Update Date: 09/13/2025
Certification Date: 09/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5920 PAN AMERICAN BLVD # 208
NORTH PORT FL
34287-3412
US

IV. Provider business mailing address

5920 PAN AMERICAN BLVD # 208
NORTH PORT FL
34287-3412
US

V. Phone/Fax

Practice location:
  • Phone: 941-564-6072
  • Fax: 941-253-2772
Mailing address:
  • Phone: 941-564-6072
  • Fax: 941-253-2772

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NN0400X
TaxonomyNeurology Chiropractor
License Number
License Number State

VIII. Authorized Official

Name: MR. DAVID GREYDINGER
Title or Position: MEMBER
Credential: D.C.
Phone: 941-564-6072