NPI | 1760930325 |
---|---|
Doing Business As | WELLSPRING REGENERATIVE MEDICINE |
Entity Type | Organization |
Authorized Contact | LEONARD A. ROLLMAN Clinic Director 386-775-6879 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH11028) |
Additional Taxonomies | 363A00000X Physician Assistant |
363L00000X Nurse Practitioner | |
Enumeration Date | 2016-09-13 |
Last Update Date | 2021-09-03 |