Organization
EVERETT H. WELLS, D.C.P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS TRUDY SANGRAW (SECRETARY/INSURANCE CLERK)
(386) 775-2100
Entity
Organization
Contact information
Practice address
1251 S VOLUSIA AVE, ORANGE CITY, FL 32763-7026
(386) 775-2100
(386) 775-1452
Mailing address
1251 S VOLUSIA AVE, ORANGE CITY, FL 32763-7026
(386) 775-2100
(386) 775-1452
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH0001491
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
380128400
—
FL
Enumeration date
11/29/2011
Last updated
11/29/2011
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