Organization
ETHICA WELLCARE TECHNOLOGIES LLC
Active
Parent organization
ETHICA WELLCARE TECHNOLOGIES LLC
Other names
Ethica Wellcare, ModifyU
Organization subpart
Yes
Provider details
NPI number
Legal business name
ETHICA WELLCARE TECHNOLOGIES LLC
Authorized official
ERICA VALLEE (DIRECTOR)
(619) 997-6053
Entity
Organization
Contact information
Practice address
450 S ORANGE AVE, ORLANDO, FL 32801-3383
(407) 930-9551
Mailing address
450 S ORANGE AVE, ORLANDO, FL 32801-3383
(407) 930-9551
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
163WG0000X
General Practice Registered Nurse
—
—
163WH0200X
Home Health Registered Nurse
—
—
174400000X
Specialist
—
—
208D00000X
General Practice Physician
—
—
305S00000X
Point of Service
—
—
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
364SH0200X
Home Health Clinical Nurse Specialist
—
—
Other
Enumeration date
03/31/2022
Last updated
04/20/2022
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