1124364492 NPI number — MEDCARE WELLNESS PROVIDERS CORP.

Table of content: (NPI 1124364492)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1124364492 NPI number — MEDCARE WELLNESS PROVIDERS CORP.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MEDCARE WELLNESS PROVIDERS CORP.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1124364492
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/14/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6750 N ANDREWS AVE
Provider Second Line Business Mailing Address:
SUITE 200
Provider Business Mailing Address City Name:
FORT LAUDERDALE
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33309-2173
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
888-902-7114
Provider Business Mailing Address Fax Number:
954-302-7635

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2311 LEE RD
Provider Second Line Business Practice Location Address:
SUITE 110
Provider Business Practice Location Address City Name:
WINTER PARK
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32789-1749
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
888-902-7114
Provider Business Practice Location Address Fax Number:
954-302-7635
Provider Enumeration Date:
12/14/2012

Additional Information

Authorized Official

Authorized Official Last Name:
CORREA
Authorized Official First Name:
ANGELO
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
678-683-2223

Provider Taxonomy Codes

  • Taxonomy code: 251K00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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