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SOUTH LAKE WELLNESS & INJURY CENTER, PL
NPI 1851579320
Chiropractor in Clermont, FL

Active since February 06, 2008
2745 CITRUS TOWER BLVD, CLERMONT, FL 34711(352) 241-4111(352) 241-4113 Get Directions Write a Review

NPPES record last updated: May 16, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 16, 2024, Nov 12, 2019, Oct 22, 2019 and 1 more (4 updates tracked since 2019).

About South Lake Wellness & Injury Center, Pl NPPES

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

SOUTH LAKE WELLNESS & INJURY CENTER, PL (NPI 1851579320) is a healthcare organization registered as a chiropractor in Clermont, Florida and active in the NPI registry since February 2008. The organization lists Mary Beth Brockman, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1851579320
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameSOUTH LAKE WELLNESS & INJURY CENTER, PL
Location Address2745 CITRUS TOWER BLVDClermont, FL 34711-6699
Mailing Address2745 Citrus Tower BlvdClermont, FL 34711-6699 · (352) 241-4111 · Fax (352) 241-4113
Phone(352) 241-4111
Fax(352) 241-4113
Organization SubpartNo
Authorized OfficialMary Beth BrockmanBilling Manager · (352) 241-4111
Enumeration DateFebruary 6, 2008
Last NPPES UpdateMay 16, 20244 updates tracked since enumeration
NPPES CertifiedMay 16, 2024
✔ NPI 1851579320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in FL · CH0007823
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
2745 CITRUS TOWER BLVD, Clermont, FL 34711
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Wellpoint.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

South Lake Wellness & Injury Center, Pl is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to South Lake Wellness & Injury Center, Pl, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Peter Brockman, D.C.
Chiropractic
NPI 1518067503
2745 CITRUS TOWER BLVD
Clermont, FL 34711
(352) 241-4111
✔ Accepts MedicareSame address
Michael Callahan, DC
Chiropractic
NPI 1003408576
2745 CITRUS TOWER BLVD
Clermont, FL 34711
(352) 359-2936
✔ Accepts MedicareSame address
Matthew Uhrik, D.C., M.S., M.S.
Chiropractic
NPI 1194267278
1217 W MILLER ST STE 1
Fruitland Park, FL 34731
(352) 750-0277
✔ Accepts Medicare26 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 South Lake Wellness & Injury Center, Pl's NPI number?

The NPI number for South Lake Wellness & Injury Center, Pl is 1851579320. It was assigned to this organization in the NPPES registry on February 6, 2008.

Where is South Lake Wellness & Injury Center, Pl located?

South Lake Wellness & Injury Center, Pl is located at 2745 Citrus Tower Blvd, Clermont, FL 34711. The listed phone number is (352) 241-4111.

What is South Lake Wellness & Injury Center, Pl's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is South Lake Wellness & Injury Center, Pl enrolled in Medicare?

Yes. South Lake Wellness & Injury Center, Pl is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through South Lake Wellness & Injury Center, Pl?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Chiropractic, reassign their Medicare billing to South Lake Wellness & Injury Center, Pl. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does South Lake Wellness & Injury Center, Pl accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Wellpoint list South Lake Wellness & Injury Center, Pl as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for South Lake Wellness & Injury Center, Pl was last updated on May 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.