| Des Cares Llc | |
|
4106 Bahia Isle Cir Wellington FL 33449-8307 | |
| (561) 291-7070 | |
| Not Available |
| Full Name | Des Cares Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4106 Bahia Isle Cir, Wellington, Florida |
| Authorized Official Name and Position | Desiree Simon (OWNER) |
| Authorized Official Contact | 5612917070 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Des Cares Llc 5700 Lake Worth Rd Ste 210 Greenacres FL 33463-3275 Ph: (561) 291-7070 | Des Cares Llc 4106 Bahia Isle Cir Wellington FL 33449-8307 Ph: (561) 291-7070 |
| NPI Number | 1265149983 |
|---|---|
| Provider Enumeration Date | 11/02/2022 |
| Last Update Date | 10/10/2024 |
| Medicare PECOS PAC ID | 8921477316 |
|---|---|
| Medicare Enrollment ID | O20221207000036 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265149983 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Desiree Eugenie Simon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356014591 PECOS PAC ID: 9739572074 Enrollment ID: I20220208002865 |
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