| Wellington Primary Care Llc | |
|
12959 Palms West Dr Ste 210 Loxahatchee FL 33470-4940 | |
| (561) 334-8988 | |
| Not Available |
| Full Name | Wellington Primary Care Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 12959 Palms West Dr Ste 210, Loxahatchee, Florida |
| Authorized Official Name and Position | Editha Pangan (MANAGING MEMBER) |
| Authorized Official Contact | 5613348988 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellington Primary Care Llc 12959 Palms West Dr Ste 210 Loxahatchee FL 33470-4940 Ph: (561) 334-8988 | Wellington Primary Care Llc 12959 Palms West Dr Ste 210 Loxahatchee FL 33470-4940 Ph: (561) 334-8988 |
| NPI Number | 1922625060 |
|---|---|
| Provider Enumeration Date | 07/05/2020 |
| Last Update Date | 07/05/2020 |
| Medicare PECOS PAC ID | 9234556119 |
|---|---|
| Medicare Enrollment ID | O20200825000546 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922625060 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Editha Angelita Pangan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720165749 PECOS PAC ID: 9537258736 Enrollment ID: I20071210000613 |
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