Healthcare Provider Details
I. General information
NPI: 1548966146
Provider Name (Legal Business Name): WELLVIEW CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/06/2023
Last Update Date: 01/14/2025
Certification Date: 01/14/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
906 W SUNRISE BLVD STE A
FORT LAUDERDALE FL
33311-7131
US
IV. Provider business mailing address
906 W SUNRISE BLVD STE A
FORT LAUDERDALE FL
33311-7131
US
V. Phone/Fax
- Phone: 844-650-2626
- Fax: 844-647-0990
- Phone: 844-650-2626
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RI0200X |
| Taxonomy | Infectious Disease Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2083P0901X |
| Taxonomy | Public Health & General Preventive Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ADOLFO
LORENZO
Title or Position: CEO
Credential:
Phone: 844-650-2626