Provider Demographics
NPI:1073251450
Name:ORCHID HEALTH AND WELLNESS LLC
Entity type:Organization
Organization Name:ORCHID HEALTH AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MANDI
Authorized Official - Middle Name:A
Authorized Official - Last Name:NEHRING
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:941-809-8475
Mailing Address - Street 1:2650 BAHIA VISTA ST STE 303
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-2634
Mailing Address - Country:US
Mailing Address - Phone:941-500-2456
Mailing Address - Fax:833-941-1993
Practice Address - Street 1:2650 BAHIA VISTA ST STE 303
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-2634
Practice Address - Country:US
Practice Address - Phone:941-500-2456
Practice Address - Fax:833-941-1993
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-25
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty