Orlando Spine and Wellness Center

NPI #1104215706 in Orlando, Florida

Provider Information

NPI Number: 1104215706
Entity Type: Organization
Organization Name: Orlando Spine and Wellness Center
Primary Specialty: Chiropractor
Enumeration Date: Jan 20, 2015
Last Updated: Dec 7, 2015

Practice Location

Address: 13802 LANDSTAR BLVD
Address 2: SUITE 107
City: Orlando
State: Florida
ZIP Code: 32824-5500
Phone: (321) 234-0124

Authorized Official

Name: DR. MICHAEL THORN BOWERMAN JR., D.C.
Title: PRESIDENT
Phone: (407) 446-6687

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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