| T And C Wellness Center | |
|
2155 N State Road 7 Ste B Margate FL 33063-5713 | |
| (754) 368-2586 | |
| Not Available |
| Full Name | T And C Wellness Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 2155 N State Road 7 Ste B, Margate, Florida |
| Authorized Official Name and Position | Careecia Wallace (ADMINISTRATOR) |
| Authorized Official Contact | 7543682586 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| T And C Wellness Center 2155 N State Road 7 Ste B Margate FL 33063-5713 Ph: (754) 368-2586 | T And C Wellness Center 2155 N State Road 7 Ste B Margate FL 33063-5713 Ph: (754) 368-2586 |
| NPI Number | 1790465540 |
|---|---|
| Provider Enumeration Date | 07/18/2023 |
| Last Update Date | 09/13/2023 |
| Medicare PECOS PAC ID | 4284085572 |
|---|---|
| Medicare Enrollment ID | O20240111001162 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790465540 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Careecia Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013617711 PECOS PAC ID: 3173854882 Enrollment ID: I20240111001558 |
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