OrganizationActive
Advanced Wellness & Sports Rehab, LLC
NPI 1134481005 · Sports Physician Chiropractor · Dade City, FL
Provider details
- NPI number
- 1134481005
- Entity type
- Organization
- Primary specialty
- Sports Physician ChiropractorChiropractic Providers
- Authorized official
- Philip Snyder, Owner
- License
- CH10458 (FL)
Practice location
14028 5th St
Dade City, FL 33525
Phone: (352) 600-2232
Fax: (352) 292-0136
Mailing address
14028 5th St
Dade City, FL 33525-4311
Registry dates
- Enumerated
- 2012-06-15
- Last updated
- 2019-02-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.