Organization
WELLNESS AND HYDRATION CLINIC, LLC
Active
Other names
NEWGEN DIRECT PRIMARY CARE
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BIANCA CARROLL NP (OWNER / CEO)
(931) 510-7783
Entity
Organization
Contact information
Practice address
580 LEXINGTON GREEN LN, SANFORD, FL 32771-1026
(931) 510-7783
Mailing address
580 LEXINGTON GREEN LN, SANFORD, FL 32771-1026
(407) 904-0942
Taxonomy
Speciality
Code
Description
License number
State
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/21/2021
Last updated
02/25/2026
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