Organization
WRMCABNS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD EVANS (VP)
(610) 768-3300
Entity
Organization
Contact information
Practice address
3319 S STATE ROAD 7 STE 102, WELLINGTON, FL 33449-8099
(561) 333-4000
Mailing address
367 S GULPH RD, KING OF PRUSSIA, PA 19406-3121
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
12/21/2016
Last updated
04/24/2020
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