Healthcare Provider Details

I. General information

NPI: 1225543648
Provider Name (Legal Business Name): BIOMECHANICS WELLNESS CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/07/2017
Last Update Date: 12/07/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2803 FRUITVILLE RD STE 130
SARASOTA FL
34237-5367
US

IV. Provider business mailing address

2803 FRUITVILLE RD STE 130
SARASOTA FL
34237-5367
US

V. Phone/Fax

Practice location:
  • Phone: 941-281-5451
  • Fax:
Mailing address:
  • Phone: 941-281-5451
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: MR. TIM BEKKERING
Title or Position: AMBR
Credential:
Phone: 941-323-3870