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General NPI Number Information
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NPI Number | 1427926435
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Entity Type | Organization
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Legal Business Name | GATORS SPINE & WELLNESS CLINIC
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Dates
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Enumeration Date | 10/29/2025
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Last Update Date | 11/14/2025
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Provider Practice Location Address
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Address Line | 3201 SW 42ND ST STE 3
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City | GAINESVILLE
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State | FL
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Zip | 32608-2441
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Country | US
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Telephone | 352-776-8899
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Fax | --
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Provider Business Mailing Address
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Address Line | 3201 SW 42ND ST STE 3
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City | GAINESVILLE
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State | FL
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Zip | 32608-2441
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Country | US
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Telephone | 352-776-8899
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Fax | --
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Authorized Official
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Title or Position | PRES.
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Name | DR. WENDY L. FLYNN
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Credential | D.C.
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Telephone | 224-515-6255
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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