Organization
GRACE FAMILY MEDICINE, LLC
Active
Other names
Grace Family Medicine Direct Primary Care of Wellington
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS POVEDA MHA (MANAGER)
(561) 317-2389
Entity
Organization
Contact information
Practice address
5700 LAKE WORTH RD STE 211, GREENACRES, FL 33463-3275
(561) 331-5155
Mailing address
11191 GRANDVIEW MNR, WELLINGTON, FL 33414-8840
(561) 317-2389
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
05/25/2020
Last updated
05/04/2025
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