# FLORIDIAN WELLNESS LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FLORIDIAN WELLNESS LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1912856196
- **Legal business name:** FLORIDIAN WELLNESS LLC
- **Authorized official:** DR. FRED PATRICK DELLA JACONO DC, AP (OWNER)
- **Authorized official phone:** (954) 591-7757

## Contact information

- **Practice address:** 4400 W SAMPLE RD STE 240, COCONUT CREEK, FL 33073-3473
- **Practice address phone:** (754) 326-1127
- **Mailing address:** 4400 W SAMPLE RD STE 240, COCONUT CREEK, FL 33073-3473
- **Mailing address phone:** (754) 326-1127

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | — | — | Yes |

## Other

- **Enumeration date:** 01/22/2026
- **Last updated:** 01/22/2026