Organization
WELLINGTON ENDO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENETHA MORAN (AUTHORIZED OFFICIAL)
(972) 763-3893
Entity
Organization
Contact information
Practice address
1157 S STATE ROAD 7, WELLINGTON, FL 33414-6101
(561) 214-6094
Mailing address
15305 DALLAS PKWY STE 1600, ADDISON, TX 75001-6491
(972) 763-3893
(972) 692-6745
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
04/09/2019
Last updated
04/09/2019
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