=====================================================
General NPI Number Information
=====================================================
NPI Number | 1518886688
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | WELLINGTON REGIONAL MEDICAL CENTER LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/13/2026
-----------------------------------------------------
Last Update Date | 07/13/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4325 HYPOLUXO RD
-----------------------------------------------------
City | LANTANA
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33462-3411
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 561-798-8500
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 10101 FOREST HILL BLVD
-----------------------------------------------------
City | WELLINGTON
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33414-6103
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 561-798-8500
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | EXEC VP - CFO
-----------------------------------------------------
Name | STEVE FILTON
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 610-768-3300
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QE0002X
-----------------------------------------------------
Taxonomy Name | Emergency Care Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------