Organization
WELAKA CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY BUCKMAN (ADMINISTRATOR)
(386) 467-3171
Entity
Organization
Contact information
Practice address
405 ELM ST, WELAKA, FL 32193-1110
(386) 467-3171
(386) 467-3174
Mailing address
PO BOX 1110, WELAKA, FL 32193-1110
(386) 467-3171
(386) 467-3174
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OS0006099
FL
207Q00000X
Family Medicine Physician
OS8101
FL
207R00000X
Internal Medicine Physician
17713
FL
207R00000X
Internal Medicine Physician
ME54534
FL
207V00000X
Obstetrics & Gynecology Physician
ME0059459
FL
207V00000X
Obstetrics & Gynecology Physician
Primary
ME75694
FL
207V00000X
Obstetrics & Gynecology Physician
ME85684
FL
Other
Enumeration date
06/27/2006
Last updated
09/11/2025
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