Organization
SPECTRUM WELLCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AJAY PUROHIT AP (PRESIDENT)
(407) 615-4102
Entity
Organization
Contact information
Practice address
1298 MINNESOTA AVE STE A, WINTER PARK, FL 32789-7104
(407) 615-4102
Mailing address
13201 LAKE CLARICE DR, WINDERMERE, FL 34786-7405
(407) 615-4102
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP 2734
FL
Other
Enumeration date
08/02/2010
Last updated
08/02/2010
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