| Wellness Therapy & Medical Care Center Inc | |
|
1140 W 50th St Ste 301 Hialeah FL 33012-3411 | |
| (305) 827-0208 | |
| (305) 827-0280 |
| Full Name | Wellness Therapy & Medical Care Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1140 W 50th St Ste 301, Hialeah, Florida |
| Authorized Official Name and Position | Barbara Corvo (PRESIDENT) |
| Authorized Official Contact | 3058270208 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellness Therapy & Medical Care Center Inc 1140 W 50th St Ste 301 Hialeah FL 33012-3411 Ph: (305) 827-0208 | Wellness Therapy & Medical Care Center Inc 1140 W 50th St Ste 301 Hialeah FL 33012-3411 Ph: (305) 827-0208 |
| NPI Number | 1689984932 |
|---|---|
| Provider Enumeration Date | 10/19/2010 |
| Last Update Date | 12/14/2020 |
| Certification Date | 12/14/2020 |
| Medicare PECOS PAC ID | 1557598182 |
|---|---|
| Medicare Enrollment ID | O20131205001280 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689984932 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | HCC (Florida) | Primary |
| Provider Name | Cesare M Rzadkowolsky Raoli |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306975305 PECOS PAC ID: 7214924802 Enrollment ID: I20040427000425 |
| Provider Name | Lucky Flores |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225007669 PECOS PAC ID: 8628015062 Enrollment ID: I20050929001065 |
| Provider Name | Reymundo Silva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750751137 PECOS PAC ID: 9739503293 Enrollment ID: I20200717000144 |
| Provider Name | Lisandra Frezek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982293668 PECOS PAC ID: 2163815051 Enrollment ID: I20220217001907 |
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