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NPI Code Detail

MEDICARE: MEDWELL GROUP INTERNATIONAL LLC

MEDICARE: MEDWELL GROUP INTERNATIONAL LLC
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
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1427542422
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEDWELL GROUP INTERNATIONAL LLC
Provider Business Mailing Address
First Line : 2925 E SOUTH ST
Second Line :
City : ORLANDO
State : FL
Zip : 32803-6459
Country : US
Telephone Number : 407-780-0759
Fax Number : 888-344-9692
Provider Business Practice Location Address
First Line : 2925 E SOUTH ST
Second Line :
City : ORLANDO
State : FL
Zip : 32803-6459
Country : US
Telephone Number : 407-780-0759
Fax Number :
Authorized Official
Title or Position : MANAGING DIRECTOR
Name : MR. MAJOR R CAUSING
Credential :
Telephone Number : 407-780-0759
Provider Enumeration Date : 06/21/2018
Last Update Date : 05/12/2019

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Directions to “MEDWELL GROUP INTERNATIONAL LLC ” Practice Location

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