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LIGHT WORKS WELLNESS CENTRE
NPI 1174789150
Clinic/Center - Health Service in Bunnell, FL

Active since July 30, 2008
4601 E HIGHWAY 100, SUITE B-8, BUNNELL, FL 32110(386) 437-5992 Get Directions Write a Review

NPPES record last updated: July 30, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Light Works Wellness Centre NPPES

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

LIGHT WORKS WELLNESS CENTRE (NPI 1174789150) is a healthcare organization registered as a health service in Bunnell, Florida and active in the NPI registry since July 2008. The organization lists Carolyn J Randolph, Principal, as its authorized official.

NPPES Registry Identity

NPI1174789150
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameLIGHT WORKS WELLNESS CENTRE
Location Address4601 E HIGHWAY 100, SUITE B-8Bunnell, FL 32110-9017
Mailing Address4601 E Highway 100, Suite B-8Bunnell, FL 32110-9017 · (386) 437-5992
Phone(386) 437-5992
Organization SubpartNo
Authorized OfficialCarolyn J RandolphPrincipal · (386) 931-2212
Enumeration DateJuly 30, 2008
✔ NPI 1174789150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
License✔ Licensed in FL · MM12805
4601 E HIGHWAY 100, Bunnell, FL 32110
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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 Light Works Wellness Centre's NPI number?

The NPI number for Light Works Wellness Centre is 1174789150. It was assigned to this organization in the NPPES registry on July 30, 2008.

Where is Light Works Wellness Centre located?

Light Works Wellness Centre is located at 4601 E Highway 100 Suite B-8, Bunnell, FL 32110. The listed phone number is (386) 437-5992.

What is Light Works Wellness Centre's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for Light Works Wellness Centre was last updated on July 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.