Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
HEALTH & WELLCARE SERVICES OF FLORIDA, INC.
Active
Organization
HEALTH & WELLCARE SERVICES OF FLORIDA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNNIE R DEGRAW M.D (PRESIDENT)
(352) 794-3872
Entity
Organization
Contact information
Practice address
5915 W GULF TO LAKE HWY, CRYSTAL RIVER, FL 34429-7565
(352) 794-3872
(352) 794-3876
Mailing address
5915 W GULF TO LAKE HWY, CRYSTAL RIVER, FL 34429-7565
(352) 794-3872
(352) 794-3876
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME0048978
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002711800
—
FL
01
—
108911
OSCAR
FL
Enumeration date
01/26/2007
Last updated
11/14/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up