SHOREWELLNESS AND MED SPA, LLC
NPI 1104445535
Clinic/Center - Primary Care in Berlin, MD

Q: What is Shorewellness And Med Spa, LLC's NPI number?

The NPI number for Shorewellness And Med Spa, LLC is 1104445535. It was assigned to this organization in the NPPES registry on April 15, 2020.

Q: What is Shorewellness And Med Spa, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since April 15, 2020

11200 RACETRACK RD STE A104, BERLIN, MD 21811(410) 973-1030(410) 973-1029 Get Directions Write a Review

NPPES record last updated: April 15, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Shorewellness And Med Spa, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHOREWELLNESS AND MED SPA, LLC (NPI 1104445535) is a healthcare organization registered as a primary care in Berlin, Maryland and active in the NPI registry since April 2020. The organization lists William Edward Gunn, Owner, as its authorized official.

NPPES Registry Identity

NPI1104445535

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameSHOREWELLNESS AND MED SPA, LLC

Location Address11200 RACETRACK RD STE A104Berlin, MD 21811-3809

Mailing Address11200 Racetrack Rd Ste A104Berlin, MD 21811-3809 · (410) 973-1030 · Fax (410) 973-1029

Phone(410) 973-1030

Fax(410) 973-1029

Organization SubpartNo

Authorized OfficialWilliam Edward GunnOwner · (410) 973-1030

Enumeration DateApril 15, 2020

NPPES CertifiedApril 15, 2020

✔ NPI 1104445535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

11200 RACETRACK RD STE A104, Berlin, MD 21811

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OCEAN CITY FOOT & ANKLE P A

Podiatrist

11200 RACETRACK RD STE A104
OCEAN PINES, MD 21811

Worcester County (410) 208-6237

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shorewellness And Med Spa, LLC's NPI number?

The NPI number for Shorewellness And Med Spa, LLC is 1104445535. It was assigned to this organization in the NPPES registry on April 15, 2020.

Where is Shorewellness And Med Spa, LLC located?

Shorewellness And Med Spa, LLC is located at 11200 Racetrack Rd Ste A104, Berlin, MD 21811. The listed phone number is (410) 973-1030.

What is Shorewellness And Med Spa, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Shorewellness And Med Spa, LLC was last updated on April 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.