MEDICARE: INFINITE WELLNESS CENTERS INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	111N00000X	Chiropractor
2	363L00000X	Nurse Practitioner
3	202D00000X	Integrative Medicine Physician

General Provider Information

NPI Number	:	1578325536
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INFINITE WELLNESS CENTERS INC

Provider Business Mailing Address
First Line	:	4025 TAMPA RD STE 1106
Second Line	:
City	:	OLDSMAR
State	:	FL
Zip	:	34677-3213
Country	:	US
Telephone Number	:	813-491-4480
Fax Number	:	813-315-7233

Provider Business Practice Location Address
First Line	:	4025 TAMPA RD STE 1106
Second Line	:
City	:	OLDSMAR
State	:	FL
Zip	:	34677-3213
Country	:	US
Telephone Number	:	813-491-4480
Fax Number	:	813-315-7233

Authorized Official
Title or Position	:	DIRECTOR OF BILLING & ADMIN
Name	:	MRS. NATALIE ANN KOLAXIS
Credential	:
Telephone Number	:	813-491-4480

Provider Enumeration Date	:	01/25/2024
Last Update Date	:	02/20/2024

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Directions to “INFINITE WELLNESS CENTERS INC ” Practice Location

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