# WELLCARE CLINICAL SERVICES LLC

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

## Provider details

- **NPI number:** 1225651136
- **Authorized official:** DR. AURORA LUNA MD (PHYSICIAN/OWNER)
- **Authorized official phone:** (713) 703-5255

## Contact information

- **Practice address:** 4835 HOLLYWOOD BLVD, HOLLYWOOD, FL 33021-6548
- **Practice address phone:** (954) 908-9550
- **Mailing address:** 4701 PIERCE ST, HOLLYWOOD, FL 33021-5807
- **Mailing address phone:** (713) 703-5255

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 202C00000X | Independent Medical Examiner Physician | — | — | — |
| 2085R0202X | Diagnostic Radiology Physician | — | — | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | — |
| 208D00000X | General Practice Physician | — | — | Yes |
| 246RP1900X | Phlebotomy Technician | — | — | — |

## Other

- **Enumeration date:** 05/26/2020
- **Last updated:** 07/07/2020