| Healthy & Wellness Community Care Llc | |
|
1801 Sw 22nd St Ste 420 Miami FL 33145-2784 | |
| (305) 603-8517 | |
| (305) 603-8666 |
| Full Name | Healthy & Wellness Community Care Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1801 Sw 22nd St Ste 420, Miami, Florida |
| Authorized Official Name and Position | Maria E Gadea (PRESIDENT) |
| Authorized Official Contact | 7862226062 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy & Wellness Community Care Llc 1801 Sw 22nd St Ste 420 Miami FL 33145-2784 Ph: (305) 603-8517 | Healthy & Wellness Community Care Llc 1801 Sw 22nd St Ste 420 Miami FL 33145-2784 Ph: (305) 603-8517 |
| NPI Number | 1316713548 |
|---|---|
| Provider Enumeration Date | 11/29/2023 |
| Last Update Date | 02/29/2024 |
| Medicare PECOS PAC ID | 8224479894 |
|---|---|
| Medicare Enrollment ID | O20240514001469 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316713548 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363LP2300X | Nurse Practitioner - Primary Care | (* (Not Available)) | Secondary |
| Provider Name | Maria Elena Gadea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184017162 PECOS PAC ID: 3476868472 Enrollment ID: I20150820010225 |
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