Healthcare Provider Details

I. General information

NPI: 1730777053
Provider Name (Legal Business Name): WE CARE FAMILY PHYSICIANS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2021
Last Update Date: 09/13/2023
Certification Date: 09/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

217 E CENTRAL AVE
WINTER HAVEN FL
33880-6312
US

IV. Provider business mailing address

PO BOX 532
LAKE ALFRED FL
33850-0532
US

V. Phone/Fax

Practice location:
  • Phone: 407-315-3637
  • Fax: 407-358-3440
Mailing address:
  • Phone: 407-315-3637
  • Fax: 407-358-3440

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RAUL VARGAS RIVERA
Title or Position: MD
Credential: MD
Phone: 407-315-3637