Wellcare Clinic Inc

NPI 1528365145 - Clinic/Center - 261QR0400X

NPI Details
NPI 1528365145
Enumeration Date 02/16/2011
Last Updated 02/16/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name KEYTTIA KEYTTIA
Position PRESIDENT
Phone (305) 300-6925
Fax (305) 675-2668
Practice Location
11865 SW 26TH ST
B-14
MIAMI FL, 33175-2400, US
Phone (305) 300-6925
Fax (305) 675-2668
Business Location
11865 SW 26TH ST
B-14
MIAMI FL, 33175-2400, US
Phone (305) 300-6925
Fax (305) 675-2668
Toxanomy
Taxonomy Code 261QR0400X
License State Florida
License Number HCC8906
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According to our database, Wellcare Clinic Inc NPI is 1528365145, taxonomy code is 261QR0400X and license number is HCC8906, license state is located at Florida. Wellcare Clinic Inc physically located at 11865 Sw 26th St, Miami FL, 33175-2400. NPI Number 1033115704 has the healthcare provider type.

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1528365145 NPI number is provided on an as is basis without warranty of any kind. 1528365145 is maintained by the National Plan & Provider Enumeration System. The contents of Wellcare Clinic Inc are for informational purposes only.