OrganizationActive
Light Works Wellness Centre
NPI 1174789150 · Health Service Clinic/Center · Bunnell, FL
Provider details
- NPI number
- 1174789150
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Carolyn Randolph, Principal(386) 931-2212
- License
- MM12805 (FL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4601 E Highway 100
Suite B-8
Bunnell, FL 32110-9017
Phone: (386) 437-5992
Approximate (ZIP-level) locationGet directions
Mailing address
4601 E Highway 100
Bunnell, FL 32110-9017
Registry dates
- Enumerated
- 2008-07-30
- Last updated
- 2008-07-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.