Organization
COMPLETE WELLNESS CHIROPRACTIC CENTER OF DELAND LLC
Active
Other names
Complete Wellness Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
J RANDALL TIMKO (OWNER)
(386) 734-2592
Entity
Organization
Contact information
Practice address
844 N STONE ST, SUIT 202, DELAND, FL 32720-3208
(386) 734-2592
(386) 734-1773
Mailing address
844 N STONE ST, SUIT 202, DELAND, FL 32720-3208
(386) 734-2592
(386) 734-1773
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CH10693
—
111N00000X
Chiropractor
CH8909
FL
111NX0800X
Orthopedic Chiropractor
Primary
CH4523
FL
225100000X
Physical Therapist
PT16948
FL
225700000X
Massage Therapist
MA36547
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21330
BCBS GROUP#
FL
Enumeration date
03/30/2007
Last updated
09/09/2024
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