Provider Demographics
NPI:1215302385
Name:MY BETTER HEALTH AND WELLNESS CO.
Entity type:Organization
Organization Name:MY BETTER HEALTH AND WELLNESS CO.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:ROSELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:BRENNAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-391-7212
Mailing Address - Street 1:11296 SE HIGHWAY 42
Mailing Address - Street 2:
Mailing Address - City:SUMMERFIELD
Mailing Address - State:FL
Mailing Address - Zip Code:34491-8635
Mailing Address - Country:US
Mailing Address - Phone:352-391-7212
Mailing Address - Fax:
Practice Address - Street 1:11296 SE HIGHWAY 42
Practice Address - Street 2:
Practice Address - City:SUMMERFIELD
Practice Address - State:FL
Practice Address - Zip Code:34491-8635
Practice Address - Country:US
Practice Address - Phone:352-391-7212
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-01
Last Update Date:2015-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty