Organization
WELLCARE OF ILLINOIS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENDRA ARCHER (VICE PRESIDENT, BOARD SECRETARY)
(813) 206-1393
Entity
Organization
Contact information
Practice address
8725 HENDERSON RD, TAMPA, FL 33634-1143
(813) 206-1393
Mailing address
8725 HENDERSON RD, TAMPA, FL 33634-1143
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
03/29/2024
Last updated
05/24/2024
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