South Lake Wellness & Injury Center, Pl
NPI 1851579320ActiveOrganization· Chiropractor· Clermont, FL
Chiropractor in Clermont, Florida, registered in NPPES in February 2008. The authorized official on file is Mary Beth Brockman, Billing Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1851579320 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 6, 2008 |
| Last updated in NPPES | May 16, 2024 |
| Certified by provider | May 16, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | CH0007823 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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