Health & Wellcare Services Of Florida, Inc.
LBN: Health & Wellcare Services Of Florida, Inc.
Health & Wellcare Services Of Florida, Inc. is an health care organization with primary practice located at 5915 W Gulf To Lake Hwy , Crystal River FL 34429-7565. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Health & Wellcare Services Of Florida, Inc. can be contacted via phone (352) 794-3872, or through Degraw, Johnnie R via phone (352) 794-3872.
Contact Information
Primary practice address
5915 W Gulf To Lake Hwy
Crystal River FL 34429-7565
Phone: (352) 794-3872
Fax: (352) 794-3876
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME0048978 | Florida |
Profile Details
| NPI number | 1144376658 |
|---|---|
| LBN Legal business name | Health & Wellcare Services Of Florida, Inc. |
| DBA Doing business as | |
| Authorized official | Degraw, Johnnie R Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 26th, 2007 |
| Last updated | Nov 14th, 2012 - about 12 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144376658 | NPPES |
| Florida | Other | 108911 | OSCAR |
| Florida | MEDICAID | 002711800 | OSCAR |
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