| Wellspring Regenerative Medicine | |
|
2415 S Volusia Ave Ste A2, Orange City, FL 32763-7623 | |
| (386) 775-6879 | |
| (386) 775-0307 |
| Full Name | Wellspring Regenerative Medicine |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 2415 S Volusia Ave Ste A2, Orange City, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760930325 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CH11028 (Florida) | Primary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
| Provider Name | Eugene R Delucia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669423141 PECOS PAC ID: 7719165786 Enrollment ID: I20110621000511 |
| Provider Name | Julie L Cortese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215371265 PECOS PAC ID: 4183858145 Enrollment ID: I20131004000335 |
| Provider Name | Leonard Alan Rollman |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1851729388 PECOS PAC ID: 2466683834 Enrollment ID: I20140327001788 |
| Provider Name | Jessica Mitchell |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1023433117 PECOS PAC ID: 1658690706 Enrollment ID: I20150512001395 |
| Provider Name | Samuel M. Rosati |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770609554 PECOS PAC ID: 0143391227 Enrollment ID: I20150717001449 |
| Provider Name | Sarah L Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508242124 PECOS PAC ID: 5799092623 Enrollment ID: I20150909003117 |
| Provider Name | Kathleen Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598125106 PECOS PAC ID: 6800180761 Enrollment ID: I20160816001031 |
| Provider Name | Maximillan Zdrada |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1760936249 PECOS PAC ID: 2163792979 Enrollment ID: I20170726002110 |
| Provider Name | Jeffery K Clifton |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1033585823 PECOS PAC ID: 5092063925 Enrollment ID: I20180808002509 |
| Provider Name | Andrew R Bonneau |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1609408988 PECOS PAC ID: 3577984541 Enrollment ID: I20200529000097 |
| Provider Name | Leonardo Samalot |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1093007031 PECOS PAC ID: 4082873948 Enrollment ID: I20200803001857 |
| Provider Name | Sara E Lund |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952892986 PECOS PAC ID: 5092128348 Enrollment ID: I20210106002184 |
| Provider Name | Soleil M Doval |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1689070575 PECOS PAC ID: 2567875784 Enrollment ID: I20210107002432 |
| Provider Name | Erica E Adams |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1003558982 PECOS PAC ID: 2264814748 Enrollment ID: I20220729002852 |
| Provider Name | Sheryl A Drew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154096543 PECOS PAC ID: 5991188385 Enrollment ID: I20220817003408 |
| Provider Name | Kenneth R Wallace |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1952706673 PECOS PAC ID: 8729520440 Enrollment ID: I20240610003640 |
| Mailing Address | Practice Location Address |
|---|---|
| Wellspring Regenerative Medicine 2415 S Volusia Ave, A-2, Orange City, FL 32763-7623 Ph: (386) 775-6879 | Wellspring Regenerative Medicine 2415 S Volusia Ave Ste A2, Orange City, FL 32763-7623 Ph: (386) 775-6879 |
Lechmaier Family Chiropractic Center Chiropractor Medicare: Medicare Enrolled Practice Location: 1051 Town Center Dr, Orange City, FL 32763 Phone: 386-775-3600 Fax: 386-775-3602 | |
Mrs. Tricia Keelan Lechmaier, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 852-35 Saxon Blvd, Orange City, FL 32763 Phone: 386-775-3600 Fax: 386-775-3602 | |
Ha Thi Van, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1656 S Volusia Ave, Orange City, FL 32763 Phone: 386-917-0007 Fax: 386-917-0089 | |
Dr. Everett Henry Wells Jr., D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1251 S Volusia Ave, Orange City, FL 32763 Phone: 386-775-2100 Fax: 386-775-1452 | |
Dr. Jasmine Perez, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 747 Fawn Ridge Dr Ste 100, Orange City, FL 32763 Phone: 386-259-9051 Fax: 386-259-4243 | |
Kyro Care Orange City Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 2705 Rebecca Ln Ste A, Orange City, FL 32763 Phone: 321-209-9950 | |
Watts Chiropractic L.l.c. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2751 Enterprise Rd, Suite 103, Orange City, FL 32763 Phone: 386-218-4924 |