# SPECTRUM WELLCARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104130129
- **Authorized official:** MR. AJAY PUROHIT AP (PRESIDENT)
- **Authorized official phone:** (407) 615-4102

## Contact information

- **Practice address:** 1298 MINNESOTA AVE STE A, WINTER PARK, FL 32789-7104
- **Practice address phone:** (407) 615-4102
- **Mailing address:** 13201 LAKE CLARICE DR, WINDERMERE, FL 34786-7405
- **Mailing address phone:** (407) 615-4102

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AP 2734 | FL | Yes |

## Other

- **Enumeration date:** 08/02/2010
- **Last updated:** 08/02/2010