Organization
WELLCARE INTEGRAL CLINIC CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KELLYS M CAMPOS (MANAGER)
(786) 870-0068
Entity
Organization
Contact information
Practice address
26315 SW 128TH CT, HOMESTEAD, FL 33032-6915
(786) 908-7206
Mailing address
26315 SW 128TH CT, HOMESTEAD, FL 33032-6915
(786) 908-7206
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000000
—
FL
Enumeration date
01/29/2026
Last updated
01/29/2026
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