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NPI Code Detail

MEDICARE: WELLNESS WAY ORMOND BEACH LLC

MEDICARE: WELLNESS WAY ORMOND BEACH LLC
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
1111N00000XChiropractor

General Provider Information

NPI Number : 1912866286
Entity Type Code : Organization
Provider Name (Legal Business Name) : WELLNESS WAY ORMOND BEACH LLC
Provider Business Mailing Address
First Line : 725 W GRANADA BLVD STE 8
Second Line :
City : ORMOND BEACH
State : FL
Zip : 32174-9406
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 725 W GRANADA BLVD STE 8
Second Line :
City : ORMOND BEACH
State : FL
Zip : 32174-9406
Country : US
Telephone Number : 386-267-7274
Fax Number :
Authorized Official
Title or Position : OWNER
Name : CHELSEA WATKINS
Credential : DC
Telephone Number : 386-267-7274
Provider Enumeration Date : 01/21/2026
Last Update Date : 01/21/2026

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Directions to “WELLNESS WAY ORMOND BEACH LLC ” Practice Location

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