Healthcare Provider Details
I. General information
NPI: 1851196075
Provider Name (Legal Business Name): WOZ WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/13/2025
Last Update Date: 02/13/2025
Certification Date: 02/13/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1397 MEDICAL PARK BLVD STE 140
WELLINGTON FL
33414-3187
US
IV. Provider business mailing address
10337 TRIANON PL
WELLINGTON FL
33449-8071
US
V. Phone/Fax
- Phone: 844-467-7656
- Fax:
- Phone: 860-202-4802
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2081S0010X |
| Taxonomy | Sports Medicine (Physical Medicine & Rehabilitation) Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
DAVID
N
WOZNICA
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 860-202-4802