Organization
WELLCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVE WEIMER (PRESIDENT)
(301) 268-4064
Entity
Organization
Contact information
Practice address
1226 NATIONAL HWY, LAVALE, MD 21502-7603
(301) 729-2235
Mailing address
1 SCIENCE PARK, FROSTBURG, MD 21532-2024
(301) 729-2235
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000000
WELLCARE
MD
Enumeration date
12/20/2021
Last updated
08/19/2025
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