Wellspring

LBN: Wellspring
Wellspring is an health care organization with primary practice located at 5618 Nw 43Rd St , Gainesville FL 32653-3406. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. Wellspring can be contacted via phone (352) 377-8770, or through Williams, George Randall via phone (352) 377-8770.

Contact Information

Primary practice address
5618 Nw 43Rd St Gainesville FL 32653-3406
Phone: (352) 377-8770
Fax: (352) 371-3623
Website:
Map and Directions
Authorized official contact:
Name: Williams, George Randall Doctor of Medicine (MD)
Phone: (352) 377-8770

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X ME0037298 Florida

Profile Details

NPI number 1558765016
LBN Legal business name Wellspring
DBA Doing business as
Authorized official Williams, George Randall Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 13th, 2014
Last updated Oct 13th, 2014 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558765016 NPPES
Florida Other 59 3213731 PSYCHIATRY

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