MEDICARE: FLORIDA WELLNESS AND REHAB PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207RS0010X	Sports Medicine (Internal Medicine) Physician
2	208100000X	Physical Medicine & Rehabilitation Physician
3	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1487885737
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLORIDA WELLNESS AND REHAB PA

Provider Business Mailing Address
First Line	:	4104 WEST LINEBAUGH AVE.
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33624
Country	:	US
Telephone Number	:	813-229-2225
Fax Number	:	813-221-2225

Provider Business Practice Location Address
First Line	:	4104 WEST LINEBAUGH AVE.
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33624
Country	:	US
Telephone Number	:	813-229-2225
Fax Number	:	813-221-2225

Authorized Official
Title or Position	:	OWNER/CEO
Name	:	DR. STEPHEN JOHN UNGER
Credential	:	DC
Telephone Number	:	727-264-8888

Provider Enumeration Date	:	08/05/2009
Last Update Date	:	04/09/2021

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Directions to “FLORIDA WELLNESS AND REHAB PA ” Practice Location

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