| Wellspring Medical Center Llc | |
|
21 Suntree Pl Suite 101 Melbourne FL 32940-7600 | |
| (321) 254-6803 | |
| (321) 254-6819 |
| Full Name | Wellspring Medical Center Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 21 Suntree Pl, Melbourne, Florida |
| Authorized Official Name and Position | Rebecca Price Hunton (OWNER) |
| Authorized Official Contact | 3212546803 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellspring Medical Center Llc 21 Suntree Pl Suite 101 Melbourne FL 32940-7600 Ph: (321) 254-6803 | Wellspring Medical Center Llc 21 Suntree Pl Suite 101 Melbourne FL 32940-7600 Ph: (321) 254-6803 |
| NPI Number | 1053615179 |
|---|---|
| Provider Enumeration Date | 01/04/2011 |
| Last Update Date | 01/25/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053615179 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | ME95892 (Florida) | Primary |
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