# ADVANCED SPINE AND WELLNESS

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

## Provider details

- **NPI number:** 1851661334
- **Authorized official:** DR. CLARK JEFFREY LEMMON D.C. (PRESIDENT)
- **Authorized official phone:** (863) 293-0040

## Contact information

- **Practice address:** 1125 1ST ST S, WINTER HAVEN, FL 33880-3902
- **Practice address phone:** (863) 293-0040
- **Practice address fax:** (863) 294-1419
- **Mailing address:** 1125 1ST ST S, WINTER HAVEN, FL 33880-3902
- **Mailing address phone:** (863) 293-0040
- **Mailing address fax:** (863) 294-1419

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | CH 9923 | FL | Yes |

## Other

- **Enumeration date:** 12/30/2011
- **Last updated:** 04/23/2013