Healthcare Provider Details

I. General information

NPI: 1649096124
Provider Name (Legal Business Name): ATLAS HEALTH AND WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2024
Last Update Date: 11/29/2024
Certification Date: 11/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3216 SE FEDERAL HWY
STUART FL
34997-4912
US

IV. Provider business mailing address

2975 SE CLAYTON ST
STUART FL
34997-5109
US

V. Phone/Fax

Practice location:
  • Phone: 954-932-8527
  • Fax: 561-468-7120
Mailing address:
  • Phone: 954-932-8527
  • Fax: 561-468-7120

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. DAVID JOHN HARTWIG
Title or Position: OWNER AND CLINICIAN
Credential: PT
Phone: 954-932-8527