# WELLNOS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Physical Therapy Now Sunrise
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194365841
- **Authorized official:** MS. DONNA LEA FONDA (CREDENTIALING DIRECTOR)
- **Authorized official phone:** (305) 517-1219

## Contact information

- **Practice address:** 4490 N UNIVERSITY DR, LAUDERHILL, FL 33351-4513
- **Practice address phone:** (754) 701-7274
- **Practice address fax:** (954) 453-6065
- **Mailing address:** 4490 N UNIVERSITY DR, LAUDERHILL, FL 33351-4513
- **Mailing address phone:** (754) 701-7274
- **Mailing address fax:** (954) 453-6065

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/10/2020
- **Last updated:** 04/01/2021