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Contact Information

WELLCARE CLINICAL SERVICES LLC
4835 HOLLYWOOD BLVD
HOLLYWOOD, FL33021-6548
 Phone: 954-908-9550
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Independent Medical Examiner

202C00000X
 

Mental Health

101YM0800X
 

Phlebotomy

246RP1900X
 

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
Indicates primary specialty

NPI Profile & details for WELLCARE CLINICAL SERVICES LLC

NPI Number 1225651136
LBN Legal business name WELLCARE CLINICAL SERVICES LLC
Authorized official AURORA LUNA - (PHYSICIAN/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/26/2020
Last updated 07/07/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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