# WELLHAVEN HEALTH SERVICES INC

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

## Provider details

- **NPI number:** 1407641582
- **Authorized official:** NESTOR FONSECA (ADMINISTRATOR)
- **Authorized official phone:** (305) 298-2123

## Contact information

- **Practice address:** 719 WALTHAM AVE, ORLANDO, FL 32809-4207
- **Practice address phone:** (407) 870-3434
- **Mailing address:** 274 WILSHIRE BLVD STE 277, CASSELBERRY, FL 32707-5368

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/10/2025
- **Last updated:** 09/08/2025