| Wellness Depot Center Fl Llc | |
|
3537 Forest Hill Blvd Ste B West Palm Beach FL 33406-5867 | |
| (561) 892-6002 | |
| Not Available |
| Full Name | Wellness Depot Center Fl Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3537 Forest Hill Blvd Ste B, West Palm Beach, Florida |
| Authorized Official Name and Position | Alexander Mogilner (OWNER) |
| Authorized Official Contact | 5169847327 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellness Depot Center Fl Llc 3537 Forest Hill Blvd Ste B West Palm Beach FL 33406-5867 Ph: () - | Wellness Depot Center Fl Llc 3537 Forest Hill Blvd Ste B West Palm Beach FL 33406-5867 Ph: (561) 892-6002 |
| NPI Number | 1689354078 |
|---|---|
| Provider Enumeration Date | 07/20/2023 |
| Last Update Date | 10/19/2023 |
| Medicare PECOS PAC ID | 7911355151 |
|---|---|
| Medicare Enrollment ID | O20231128002331 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689354078 | NPI | - | NPPES |
| Provider Name | Angel Carrasco |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891729125 PECOS PAC ID: 4385541747 Enrollment ID: I20031215000824 |
| Provider Name | Sunita Sharma |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437265899 PECOS PAC ID: 8820062227 Enrollment ID: I20040823000316 |
| Provider Name | Sergey Terushkin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245424506 PECOS PAC ID: 4082739933 Enrollment ID: I20100915000484 |
| Provider Name | Sergey Kalitenko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740295278 PECOS PAC ID: 9234037870 Enrollment ID: I20210901000574 |
| Provider Name | Elina Rafailova |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770940447 PECOS PAC ID: 8628376977 Enrollment ID: I20231213001857 |
| Provider Name | Natacha Depeine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679139745 PECOS PAC ID: 5294187522 Enrollment ID: I20240123000117 |
| Provider Name | Helen Chernovets-vergilis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962823732 PECOS PAC ID: 6002038361 Enrollment ID: I20240308002188 |
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