| Center For Wellness Clinic Llc | |
|
5258 Linton Blvd Ste 105 Delray Beach FL 33484-6564 | |
| (561) 292-3436 | |
| (561) 292-3479 |
| Full Name | Center For Wellness Clinic Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 5258 Linton Blvd Ste 105, Delray Beach, Florida |
| Authorized Official Name and Position | Henri Philius (OWNER) |
| Authorized Official Contact | 9545540280 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Wellness Clinic Llc 5258 Linton Blvd Ste 105 Delray Beach FL 33484-6564 Ph: (561) 292-3436 | Center For Wellness Clinic Llc 5258 Linton Blvd Ste 105 Delray Beach FL 33484-6564 Ph: (561) 292-3436 |
| NPI Number | 1932843992 |
|---|---|
| Provider Enumeration Date | 04/26/2022 |
| Last Update Date | 07/10/2023 |
| Medicare PECOS PAC ID | 8022471515 |
|---|---|
| Medicare Enrollment ID | O20230831000732 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932843992 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Rose Philius |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104488337 PECOS PAC ID: 9931533387 Enrollment ID: I20191218001685 |
| Provider Name | Valdinio Cambry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891453072 PECOS PAC ID: 6002202439 Enrollment ID: I20220411002355 |
| Provider Name | Mimi Myrlande Farride |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275061426 PECOS PAC ID: 3779937453 Enrollment ID: I20230928003517 |
| Provider Name | Duclos Dessalines |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457503666 PECOS PAC ID: 2961778402 Enrollment ID: I20230929001433 |
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