Gp Wellness Pllc | |
12230 Forest Hill Blvd Suite 152 Wellington FL 33414-5700 | |
(561) 358-9414 | |
Not Available |
Full Name | Gp Wellness Pllc |
---|---|
Speciality | Counselor - Mental Health |
Location | 12230 Forest Hill Blvd, Wellington, Florida |
Authorized Official Name and Position | Graciela Perez (LICENCE MENTAL HEALTH C) |
Authorized Official Contact | 5613589414 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Gp Wellness Pllc 3690 Miramontes Cir Wellington FL 33414 Ph: () - | Gp Wellness Pllc 12230 Forest Hill Blvd Suite 152 Wellington FL 33414-5700 Ph: (561) 358-9414 |
NPI Number | 1679762413 |
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Provider Enumeration Date | 10/17/2007 |
Last Update Date | 09/16/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679762413 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | MH9077 (Florida) | Primary |
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