| St. Charles Wellness Center Llc | |
|
311 Ne 8th St Ste 109 Homestead FL 33030-4734 | |
| (305) 363-5573 | |
| (786) 622-1893 |
| Full Name | St. Charles Wellness Center Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 311 Ne 8th St Ste 109, Homestead, Florida |
| Authorized Official Name and Position | Rosita Atilus (PROVIDER) |
| Authorized Official Contact | 7862592966 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Charles Wellness Center Llc 311 Ne 8th St Ste 109 Homestead FL 33030-4734 Ph: (305) 363-5573 | St. Charles Wellness Center Llc 311 Ne 8th St Ste 109 Homestead FL 33030-4734 Ph: (305) 363-5573 |
| NPI Number | 1932848801 |
|---|---|
| Provider Enumeration Date | 05/31/2022 |
| Last Update Date | 07/15/2022 |
| Medicare PECOS PAC ID | 5698159739 |
|---|---|
| Medicare Enrollment ID | O20220908002229 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932848801 | NPI | - | NPPES |
| Provider Name | Rosita Atilus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447596283 PECOS PAC ID: 3375777063 Enrollment ID: I20131011001504 |
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