# ETHICA WELLCARE TECHNOLOGIES LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ETHICA WELLCARE TECHNOLOGIES LLC
- **Other names:** Ethica Wellcare, ModifyU
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1073253746
- **Legal business name:** ETHICA WELLCARE TECHNOLOGIES LLC
- **Authorized official:** ERICA VALLEE (DIRECTOR)
- **Authorized official phone:** (619) 997-6053

## Contact information

- **Practice address:** 450 S ORANGE AVE, ORLANDO, FL 32801-3383
- **Practice address phone:** (407) 930-9551
- **Mailing address:** 450 S ORANGE AVE, ORLANDO, FL 32801-3383
- **Mailing address phone:** (407) 930-9551

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | — | NULL | — |
| 163W00000X | Registered Nurse | — | — | — |
| 163WG0000X | General Practice Registered Nurse | — | NULL | — |
| 163WG0000X | General Practice Registered Nurse | — | — | — |
| 163WH0200X | Home Health Registered Nurse | — | NULL | — |
| 163WH0200X | Home Health Registered Nurse | — | — | — |
| 174400000X | Specialist | — | NULL | — |
| 174400000X | Specialist | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |
| 305S00000X | Point of Service | — | NULL | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363AM0700X | Medical Physician Assistant | — | NULL | — |
| 363AM0700X | Medical Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |
| 364SH0200X | Home Health Clinical Nurse Specialist | — | NULL | — |
| 364SH0200X | Home Health Clinical Nurse Specialist | — | — | — |

## Other

- **Enumeration date:** 03/31/2022
- **Last updated:** 04/20/2022