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Organization
WELL CARE INTEGRATIVE MEDICINE LLC
Active
Organization
WELL CARE INTEGRATIVE MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLINE CLERGE DC (DIRECTOR)
(561) 296-8787
Entity
Organization
Contact information
Practice address
1920 PALM BEACH LAKES BLVD STE 212, WEST PALM BEACH, FL 33409-3506
(561) 296-8787
(561) 296-8788
Mailing address
1920 PALM BEACH LAKES BLVD STE 212, WEST PALM BEACH, FL 33409-3506
(561) 296-8787
(561) 296-8788
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
89634
BLUE CROSS BLUE SHIELD OF FL
FL
Enumeration date
01/10/2019
Last updated
01/25/2019
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