Healthcare Provider Details

I. General information

NPI: 1871428425
Provider Name (Legal Business Name): MAIR'S WELLCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2262 HONEYCOMB LN
LAKELAND FL
33801-6296
US

IV. Provider business mailing address

2262 HONEYCOMB LN
LAKELAND FL
33801-6296
US

V. Phone/Fax

Practice location:
  • Phone: 727-455-2834
  • Fax:
Mailing address:
  • Phone: 727-455-2834
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: FITZROY MAIR
Title or Position: OWNER
Credential:
Phone: 727-455-2834