Organization
WELLNESS ASSOCIATES OF FLORIDA LLC
Active
Other names
WELLNESS ASSOCIATES OF FLORIDA INC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AMADO ESTEBAN LOPEZ (PRESIDENT)
(561) 966-3393
Entity
Organization
Contact information
Practice address
5917 S CONGRESS AVE, ATLANTIS, FL 33462-1303
(561) 966-3393
(561) 966-9793
Mailing address
5917 S CONGRESS AVE, ATLANTIS, FL 33462-1303
(561) 966-3393
(561) 966-9793
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
HCC4322
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2548771
AETNA - HMO
FL
01
—
5843
AVMED
FL
01
—
FL 165
MEDSOLUTIOND
FL
01
—
HCC4322
FL STATE LICENSE
FL
01
—
V2247
BCBS
FL
Enumeration date
10/11/2006
Last updated
06/21/2018
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