Organization
FLORIDIAN WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRED PATIRICK DELLA JACONO DC, AP, LMT (OWNER)
(954) 591-7757
Entity
Organization
Contact information
Practice address
4400 W SAMPLE RD STE 240, COCONUT CREEK, FL 33073-3473
(954) 591-7757
Mailing address
4400 W SAMPLE RD STE 240, COCONUT CREEK, FL 33073-3473
(754) 326-1127
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
171100000X
Acupuncturist
—
—
Other
Enumeration date
02/25/2025
Last updated
01/22/2026
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