# SPONAUGLE WELLNESS INSTITUTE

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

## Provider details

- **NPI number:** 1467876912
- **Authorized official:** DR. MARVIN R SPONAUGLE MD (OWNER)
- **Authorized official phone:** (727) 945-9198

## Contact information

- **Practice address:** 32815 US HIGHWAY 19 N, PALM HARBOR, FL 34684-3123
- **Practice address phone:** (727) 945-9198
- **Practice address fax:** (727) 945-1031
- **Mailing address:** 32815 US HWY 19 NORTH, PALM HARBOR, FL 34684
- **Mailing address phone:** (727) 945-9198
- **Mailing address fax:** (727) 945-1031

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | ME45587 | FL | Yes |

## Other

- **Enumeration date:** 02/04/2014
- **Last updated:** 02/04/2014