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Organization
WELL CHILD OF FLORIDA, LLC
Active
Organization
WELL CHILD OF FLORIDA, LLC
Active
Other names
Well Child
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA WINFREY (CREDENTIALING SPECIALIST)
(901) 728-5858
Entity
Organization
Contact information
Practice address
8700 W FLAGLER ST, 400, MIAMI, FL 33174-2401
(901) 728-5858
(901) 531-6312
Mailing address
650 NEW YORK ST, MEMPHIS, TN 38104-5536
(901) 728-5858
(901) 531-6312
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/02/2017
Last updated
03/13/2017
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