Wellspring Medical Center Llc

NPI 1053615179 - Clinic/Center - 261QP2300X

NPI Details
NPI 1053615179
Enumeration Date 01/04/2011
Last Updated 01/25/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name REBECCA PRICE REBECCA
Position OWNER
Phone (321) 254-6803
Fax (321) 254-6819
Practice Location
21 SUNTREE PL
SUITE 101
MELBOURNE FL, 32940-7600, US
Phone (321) 254-6803
Fax (321) 254-6819
Business Location
21 SUNTREE PL
SUITE 101
MELBOURNE FL, 32940-7600, US
Phone (321) 254-6803
Fax (321) 254-6819
Toxanomy
Taxonomy Code 261QP2300X
License State Florida
License Number ME95892
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According to our database, Wellspring Medical Center Llc NPI is 1053615179, taxonomy code is 261QP2300X and license number is ME95892, license state is located at Florida. Wellspring Medical Center Llc physically located at 21 Suntree Pl, Melbourne FL, 32940-7600. NPI Number 1033115704 has the healthcare provider type.

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1053615179 NPI number is provided on an as is basis without warranty of any kind. 1053615179 is maintained by the National Plan & Provider Enumeration System. The contents of Wellspring Medical Center Llc are for informational purposes only.