Healthcare Provider Details

I. General information

NPI: 1285429027
Provider Name (Legal Business Name): WELLCARE JOURNEY CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2025
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9425 SW 72ND ST STE 225
MIAMI FL
33173-5494
US

IV. Provider business mailing address

9425 SW 72ND ST STE 225
MIAMI FL
33173-5494
US

V. Phone/Fax

Practice location:
  • Phone: 786-830-7400
  • Fax: 305-810-4840
Mailing address:
  • Phone: 786-830-7400
  • Fax: 305-810-4840

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: BLANCA R MUNOZ GUTIERREZ,
Title or Position: PRESIDENT
Credential:
Phone: 786-830-7400