Wecare Wellness Clinic Llc | |
214 W Brandon Blvd Brandon FL 33511-5104 | |
(813) 244-0696 | |
Not Available |
Full Name | Wecare Wellness Clinic Llc |
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Speciality | Clinic/Center |
Location | 214 W Brandon Blvd, Brandon, Florida |
Authorized Official Name and Position | Darlyne Georges (OWNER) |
Authorized Official Contact | 8134385220 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Wecare Wellness Clinic Llc Po Box 1679 Brandon FL 33509-1679 Ph: (813) 438-5220 | Wecare Wellness Clinic Llc 214 W Brandon Blvd Brandon FL 33511-5104 Ph: (813) 244-0696 |
NPI Number | 1164163945 |
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Provider Enumeration Date | 04/05/2022 |
Last Update Date | 07/21/2022 |
Medicare PECOS PAC ID | 4880078724 |
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Medicare Enrollment ID | O20220826001444 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164163945 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Darlyne Georges |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982090296 PECOS PAC ID: 7810279189 Enrollment ID: I20170120001734 |
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