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Organization

VIVAWELL CARE GROUP CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARIANELA GOMEZ (DIRECTOR OF OPERATIONS)
(941) 894-4433
Entity
Organization

Contact information

Practice address
3042 UNIVERSITY PKWY, SARASOTA, FL 34243-2502
(941) 894-4433
Mailing address
3042 UNIVERSITY PKWY, SARASOTA, FL 34243-2502
(941) 894-4433

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
261Q00000X
Clinic/Center
261QB0400X
Birthing Clinic/Center
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
261QP2300X
Primary Care Clinic/Center

Other

Enumeration date
01/05/2026
Last updated
01/15/2026
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