MEDICARE: WELLINGTON MEDICAL CARE ASSOCIATES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	98783	OTHER	FL	FLORIDA BLUE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245339837
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WELLINGTON MEDICAL CARE ASSOCIATES

Provider Business Mailing Address
First Line	:	1460 ROYAL PALM BEACH BLVD
Second Line	:
City	:	ROYAL PALM BEACH
State	:	FL
Zip	:	33411-1608
Country	:	US
Telephone Number	:	561-791-7969
Fax Number	:	561-791-7968

Provider Business Practice Location Address
First Line	:	1460 ROYAL PALM BEACH BLVD
Second Line	:
City	:	ROYAL PALM BEACH
State	:	FL
Zip	:	33411-1608
Country	:	US
Telephone Number	:	561-791-7969
Fax Number	:	561-791-7968

Authorized Official
Title or Position	:	PHYSICIAN MANAGE
Name	:	DR. JOSE GONZALEZ
Credential	:	M.D
Telephone Number	:	561-791-7969

Provider Enumeration Date	:	09/21/2006
Last Update Date	:	07/23/2024

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Directions to “WELLINGTON MEDICAL CARE ASSOCIATES ” Practice Location

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