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NPI Code Detail

MEDICARE: THE WELL MEDICAL GROUP INC

MEDICARE: THE WELL MEDICAL GROUP INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician
2207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1215802749
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE WELL MEDICAL GROUP INC
Provider Business Mailing Address
First Line : 5110 N 40TH ST STE 813
Second Line :
City : TAMPA
State : FL
Zip : 33610-5204
Country : US
Telephone Number : 813-800-6337
Fax Number :
Provider Business Practice Location Address
First Line : 5110 N 40TH ST STE 813
Second Line :
City : TAMPA
State : FL
Zip : 33610-5204
Country : US
Telephone Number : 813-294-5510
Fax Number :
Authorized Official
Title or Position : OWNER
Name : NOSAGHARE OWENS
Credential :
Telephone Number : 813-800-6337
Provider Enumeration Date : 10/06/2025
Last Update Date : 12/02/2025

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Directions to “THE WELL MEDICAL GROUP INC ” Practice Location

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