# SEMINOLE WELLNESS & INJURY CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Seminole Integrative Medicine, PLLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073075974
- **Authorized official:** DR. RICHARD J BOCCO D.C (DIRECTOR)
- **Authorized official phone:** (407) 831-4357

## Contact information

- **Practice address:** 164 SAUSALITO BLVD, CASSELBERRY, FL 32707-5764
- **Practice address phone:** (407) 831-4357
- **Mailing address:** 164 SAUSALITO BLVD, CASSELBERRY, FL 32707-5764
- **Mailing address phone:** (407) 831-4357

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/01/2019
- **Last updated:** 06/05/2020