| Osteopathic Family Wellness Center | |
|
5555 E Michigan St Suite 103 Orlando FL 32822-2700 | |
| (407) 456-2977 | |
| Not Available |
| Full Name | Osteopathic Family Wellness Center |
|---|---|
| Speciality | Family Medicine |
| Location | 5555 E Michigan St, Orlando, Florida |
| Authorized Official Name and Position | April R Smith-gonzalez (DOCTOR) |
| Authorized Official Contact | 4074562977 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Osteopathic Family Wellness Center 5555 E Michigan St Suite 103 Orlando FL 32822-2700 Ph: (407) 456-2977 | Osteopathic Family Wellness Center 5555 E Michigan St Suite 103 Orlando FL 32822-2700 Ph: (407) 456-2977 |
| NPI Number | 1871841007 |
|---|---|
| Provider Enumeration Date | 08/20/2012 |
| Last Update Date | 01/09/2020 |
| Medicare PECOS PAC ID | 8820246812 |
|---|---|
| Medicare Enrollment ID | O20120917000612 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871841007 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS11034 (Florida) | Primary |
| Provider Name | April R Smith-gonzalez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871899690 PECOS PAC ID: 9830360528 Enrollment ID: I20110929000670 |
| Provider Name | Christena Lynn Pellett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912439837 PECOS PAC ID: 5991161580 Enrollment ID: I20230524002820 |
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