Organization
HOLISTIC WELLNESS NOW, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEAL WIEDER DC (PRESIDENT)
(407) 330-0240
Entity
Organization
Contact information
Practice address
820 W LAKE MARY BLVD, 107, SANFORD, FL 32773-5946
(407) 330-0240
(407) 330-9432
Mailing address
820 W LAKE MARY BLVD, SUITE 107, SANFORD, FL 32773-5946
(407) 330-0240
(407) 330-9432
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH3063
FL
171100000X
Acupuncturist
CH3063
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0166185
BCBS OF TN
TN
01
—
1194299950
STATE OF OHIO WORK COMP
OH
Enumeration date
12/29/2006
Last updated
02/05/2008
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