National Provider Identifier Database

WELLCARE CLINICAL SERVICES LLC
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.


Contact Information

WELLCARE CLINICAL SERVICES LLC
4835 HOLLYWOOD BLVD
HOLLYWOOD, FL33021-6548
Phone: 954-908-9550
Fax:
Website:
Specialty Taxonomy Code
* General Practice 208D00000X
Diagnostic Radiology 2085R0202X
Independent Medical Examiner 202C00000X
Mental Health 101YM0800X
Phlebotomy 246RP1900X
Vascular & Interventional Radiology 2085R0204X

* Indicates primary specialty

NPI Profile & details for WELLCARE CLINICAL SERVICES LLC

NPI Number 1225651136
Legal business name
LBN
WELLCARE CLINICAL SERVICES LLC
Authorized official AURORA LUNA - (PHYSICIAN/OWNER)
Entity Organization
Organization subpart No
Enumeration date 05/26/2020
Last updated 07/07/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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