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Organization
WELLCARE MEDICAL CLINIC LLC
Active
Organization
WELLCARE MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIMON C WONG D.O..,M.B.A.,M.M. (PRESIDENT)
(954) 383-4262
Entity
Organization
Contact information
Practice address
2901 CORAL HILLS DRIVE, SUITE 250, CORAL SPRINGS, FL 33065-4146
(954) 603-5508
Mailing address
2901 CORAL HILLS DRIVE, SUITE 250, CORAL SPRINGS, FL 33065-4146
(954) 603-5508
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS10509
FL
Other
Enumeration date
02/10/2011
Last updated
02/10/2011
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