MEDICARE: WELLBEIN ORTHOPEDIC EXPRESS 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
1	207XX0004X	Orthopaedic Foot and Ankle Surgery Physician

General Provider Information

NPI Number	:	1477243764
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WELLBEIN ORTHOPEDIC EXPRESS LLC

Provider Business Mailing Address
First Line	:	2104 ROCKY RIDGE RD
Second Line	:
City	:	HOOVER
State	:	AL
Zip	:	35216-5138
Country	:	US
Telephone Number	:	205-597-8647
Fax Number	:	205-460-1133

Provider Business Practice Location Address
First Line	:	2104 ROCKY RIDGE RD
Second Line	:
City	:	HOOVER
State	:	AL
Zip	:	35216-5138
Country	:	US
Telephone Number	:	205-597-8647
Fax Number	:	205-460-1133

Authorized Official
Title or Position	:	OWNER
Name	:	FRANCISO JOSE CAYCEDO
Credential	:	MD
Telephone Number	:	205-597-8647

Provider Enumeration Date	:	05/10/2023
Last Update Date	:	05/12/2023

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Directions to “WELLBEIN ORTHOPEDIC EXPRESS LLC ” Practice Location

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