| Wilmar Medical Corp | |
|
4849 Lake Worth Rd Greenacres FL 33463-3455 | |
| (561) 290-4144 | |
| Not Available |
| Full Name | Wilmar Medical Corp |
|---|---|
| Speciality | Clinic/center |
| Location | 4849 Lake Worth Rd, Greenacres, Florida |
| Authorized Official Name and Position | Will Innocent (OFFICER) |
| Authorized Official Contact | 5612904144 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wilmar Medical Corp Po Box 221313 West Palm Beach FL 33422-1313 Ph: (561) 290-4144 | Wilmar Medical Corp 4849 Lake Worth Rd Greenacres FL 33463-3455 Ph: (561) 290-4144 |
| NPI Number | 1124372420 |
|---|---|
| Provider Enumeration Date | 11/08/2012 |
| Last Update Date | 11/08/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124372420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | ME92937 (Florida) | Primary |
| 261Q00000X | Clinic/center | ME93404 (Florida) | Secondary |
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