OrganizationActive
Central Florida Integrated Wellness Clinic PLLC
NPI 1265727861 · Pain Medicine (Anesthesiology) Physician · Maitland, FL
Provider details
- NPI number
- 1265727861
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Channing Bolick, Mgr(407) 629-5333
- License
- CH7882 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Chiropractic Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
500 E Horatio Ave
Suite 5
Maitland, FL 32751-7310
Phone: (407) 629-5333
Fax: (407) 629-5343
Street-level locationGet directions
Mailing address
500 E Horatio Ave
Maitland, FL 32751-7310
Registry dates
- Enumerated
- 2011-06-13
- Last updated
- 2011-06-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.