# DYNAMIC WELLNESS NP LLC

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

## Provider details

- **NPI number:** 1619848892
- **Authorized official:** MS. WENDY BETH CLOW ARNP (PROVIDER)
- **Authorized official phone:** (352) 204-8904

## Contact information

- **Practice address:** 8245 COUNTY ROAD 44 LEG A STE 1, LEESBURG, FL 34788-3751
- **Practice address phone:** (352) 204-8904
- **Practice address fax:** (949) 703-7406
- **Mailing address:** 8245 COUNTY ROAD 44 LEG A STE 1, LEESBURG, FL 34788-3751
- **Mailing address phone:** (352) 204-8904
- **Mailing address fax:** (949) 703-7406

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 09/12/2025
- **Last updated:** 09/12/2025