Healthcare Provider Details

I. General information

NPI: 1194654616
Provider Name (Legal Business Name): WELLSPRING ONECARE HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2275 N VOLUSIA AVE STE 100
ORANGE CITY FL
32763-2833
US

IV. Provider business mailing address

2275 N VOLUSIA AVE STE 100
ORANGE CITY FL
32763-2833
US

V. Phone/Fax

Practice location:
  • Phone: 386-473-7922
  • Fax:
Mailing address:
  • Phone: 386-473-7922
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JAIME J PEREZ MELENDEZ
Title or Position: OWNER
Credential: DC
Phone: 386-473-7922