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Organization
WELLCARE CLINICAL SERVICES LLC
Active
Organization
WELLCARE CLINICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AURORA LUNA MD (PHYSICIAN/OWNER)
(713) 703-5255
Entity
Organization
Contact information
Practice address
4835 HOLLYWOOD BLVD, HOLLYWOOD, FL 33021-6548
(954) 908-9550
Mailing address
4701 PIERCE ST, HOLLYWOOD, FL 33021-5807
(713) 703-5255
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
202C00000X
Independent Medical Examiner Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
246RP1900X
Phlebotomy Technician
—
—
Other
Enumeration date
05/26/2020
Last updated
07/07/2020
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