Organization
WHEAT COMMUNITY SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. REGINA COOPER (DIRECTOR)
(954) 661-7227
Entity
Organization
Contact information
Practice address
5875 LAKE WORTH RD, GREENACRES, FL 33463-3209
(305) 682-8700
(305) 682-8994
Mailing address
5875 LAKE WORTH RD, GREENACRES, FL 33463-3209
(305) 682-8700
(305) 682-8994
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
—
—
251B00000X
Case Management Agency
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10D2181154
CLIA
FL
01
—
10D2181356
CLIA
FL
05
—
111294500
—
FL
Enumeration date
05/07/2021
Last updated
10/18/2025
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