# IDEAL HEALTH AND WELLNESS CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235587676
- **Authorized official:** DR. DONNA M MADDOX DC (OWNER)
- **Authorized official phone:** (813) 933-1511

## Contact information

- **Practice address:** 8001 N DALE MABRY HWY BLDG 301, TAMPA, FL 33614-3290
- **Practice address phone:** (813) 933-1511
- **Mailing address:** 8001 N DALE MABRY HWY BLDG 301, TAMPA, FL 33614-3290
- **Mailing address phone:** (813) 933-1511

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | — | — |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/26/2016
- **Last updated:** 05/26/2016