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Organization
WELLINGTON PHYSICIAN ALLIANCES INC
Active
Organization
WELLINGTON PHYSICIAN ALLIANCES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD EVANS (VP)
(610) 768-3300
Entity
Organization
Contact information
Practice address
10111 FOREST HILL BLVD RM 231, WELLINGTON, FL 33414-6157
(561) 472-2590
(561) 227-0161
Mailing address
367 S GULPH RD, KING OF PRUSSIA, PA 19406-3121
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208600000X
Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000591200
—
FL
01
—
9359550
AETNA
FL
01
—
99817
BCBS
FL
01
—
DR7639
RR MEDICARE
FL
Enumeration date
07/28/2008
Last updated
10/24/2024
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