MEDICARE: PURE CHIROPRACTIC & NATURAL HEALTH, PA

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111NI0013X	Independent Medical Examiner Chiropractor	CH3063	FL
2	133N00000X	Nutritionist	CH3063	FL
3	171100000X	Acupuncturist	CH3063	FL
4	111N00000X	Chiropractor	CH3063	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1194299950	OTHER	FL	STATE OF OHIO WORKER'S COMPENSATION
2	CH3063	OTHER	FL	STATE OF FLORIDA WORKER'S COMPENSATION
3	88322A	OTHER	FL	BLUE CROSSS & BLUE SHIELD

General Provider Information

NPI Number	:	1780006403
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PURE CHIROPRACTIC & NATURAL HEALTH, PA

Provider Business Mailing Address
First Line	:	200 WAYMONT CT
Second Line	:	SUITE 126, UNIT #3
City	:	LAKE MARY
State	:	FL
Zip	:	32746-3413
Country	:	US
Telephone Number	:	407-682-4454
Fax Number	:	407-682-3805

Provider Business Practice Location Address
First Line	:	200 WAYMONT CT
Second Line	:	SUITE 126, UNIT #3
City	:	LAKE MARY
State	:	FL
Zip	:	32746-3413
Country	:	US
Telephone Number	:	407-682-4454
Fax Number	:	407-682-3805

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. NEAL WIEDER
Credential	:
Telephone Number	:	407-682-4454

Provider Enumeration Date	:	01/15/2014
Last Update Date	:	01/15/2014

Similar Medicare Providers

1801734918 — SAVANNAH ANN HILL
Practice Location Address:

200 WAYMONT CT STE 122
LAKE MARY, FL
32746-3413

Practice Phone: 844-244-1818
Practice Fax:

1134067911 — DIANA CRUZ
Practice Location Address:

200 WAYMONT CT STE 122
LAKE MARY, FL
32746-3413

Practice Phone: 844-854-1116
Practice Fax:

1265420475 — CENTRAL FLORIDA MEDICAL STAFFING, INC
Practice Location Address:

200 WAYMONT CT
LAKE MARY, FL
32746-3413

Practice Phone: 407-328-8619
Practice Fax: 407-328-9056

1700096138 — MRS. WENDY ELIZABETH CRANE ED.S., LMFT
Practice Location Address:

200 WAYMONT CT STE 126
LAKE MARY, FL
32746-3413

Practice Phone: 407-739-4267
Practice Fax:

1386811388 — DR. STEVEN J HOCHFELDER DMD
Practice Location Address:

200 WAYMONT CT , SUITE 130
LAKE MARY, FL
32746-3413

Practice Phone: 407-321-8900
Practice Fax:

1649414251 — MARIA E. NEMEC LCSW-C
Practice Location Address:

200 WAYMONT CT , STE 126 #13
LAKE MARY, FL
32746-3413

Practice Phone: 407-867-1368
Practice Fax:

Directions to “PURE CHIROPRACTIC & NATURAL HEALTH, PA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.