| Universal Wellness Group, Pa | |
|
1220 59th St W Bradenton FL 34209 | |
| (941) 238-9900 | |
| (941) 238-9770 |
| Full Name | Universal Wellness Group, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 1220 59th St W, Bradenton, Florida |
| Authorized Official Name and Position | Daniel Amoah (CEO) |
| Authorized Official Contact | 9412389900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Universal Wellness Group, Pa Po Box 20185 Bradenton FL 34204-0185 Ph: (941) 238-9900 | Universal Wellness Group, Pa 1220 59th St W Bradenton FL 34209 Ph: (941) 238-9900 |
| NPI Number | 1053838870 |
|---|---|
| Provider Enumeration Date | 08/23/2017 |
| Last Update Date | 05/21/2024 |
| Medicare PECOS PAC ID | 1052679628 |
|---|---|
| Medicare Enrollment ID | O20180103002411 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053838870 | NPI | - | NPPES |
| 279495100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Daniel Amoah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063612927 PECOS PAC ID: 9931292117 Enrollment ID: I20070904000466 |
| Provider Name | Folake Orehin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619582087 PECOS PAC ID: 3173922200 Enrollment ID: I20210817000367 |
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