Provider Demographics
NPI:1063523496
Name:NEW DAY WELLNESS LLC
Entity type:Organization
Organization Name:NEW DAY WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:GERARD
Authorized Official - Last Name:SACK
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:352-371-4637
Mailing Address - Street 1:1315 NW 21ST AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:CHIEFLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32626-1978
Mailing Address - Country:US
Mailing Address - Phone:352-493-2999
Mailing Address - Fax:866-631-2029
Practice Address - Street 1:1315 NW 21ST AVE STE 3
Practice Address - Street 2:
Practice Address - City:CHIEFLAND
Practice Address - State:FL
Practice Address - Zip Code:32626-1978
Practice Address - Country:US
Practice Address - Phone:352-493-2999
Practice Address - Fax:866-631-2029
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT41022251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatricsGroup - Single Specialty