=====================================================
General NPI Number Information
=====================================================
NPI Number | 1578626032
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | WELLNESS STRATEGIES INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/18/2006
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 74 NE 4TH AVE SUITE 4
-----------------------------------------------------
City | DELRAY BEACH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33483-4565
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 561-330-7878
-----------------------------------------------------
Fax | 561-330-7889
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 74 NE 4TH AVE SUITE 4
-----------------------------------------------------
City | DELRAY BEACH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33483-4565
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 561-330-7878
-----------------------------------------------------
Fax | 561-330-7889
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MEDICAL DIRECTOR
-----------------------------------------------------
Name | DR. DEAN ALAN SLOAN
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 561-330-7878
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number | ME0056952
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------