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Organization
WELLHAVEN HEALTH SERVICES INC
Active
Organization
WELLHAVEN HEALTH SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NESTOR FONSECA (ADMINISTRATOR)
(305) 298-2123
Entity
Organization
Contact information
Practice address
719 WALTHAM AVE, ORLANDO, FL 32809-4207
(407) 870-3434
Mailing address
274 WILSHIRE BLVD STE 277, CASSELBERRY, FL 32707-5368
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
261QC1500X
Community Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
04/10/2025
Last updated
09/08/2025
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