# WELLCARE MEDICAL GROUP, LLC

> 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. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1295209757
- **Authorized official:** WENDI DAVIS (BILLING MANAGER)
- **Authorized official phone:** (352) 388-3111

## Contact information

- **Practice address:** 327 LANTANA RD STE WELLCARE, LANTANA, FL 33462-1773
- **Practice address phone:** (352) 388-3111
- **Practice address fax:** (801) 881-8827
- **Mailing address:** 327 LANTANA RD STE WELLCARE, LANTANA, FL 33462-1773
- **Mailing address phone:** (352) 388-3111
- **Mailing address fax:** (801) 881-8827

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/17/2019
- **Last updated:** 07/28/2020