MEDICARE: VICTORIA WELLNESS CORP

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	251C00000X	Developmentally Disabled Services Day Training Agency

General Provider Information

NPI Number	:	1497602163
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VICTORIA WELLNESS CORP

Provider Business Mailing Address
First Line	:	2123 NE 28TH ST
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33909-4582
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2123 NE 28TH ST
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33909-4582
Country	:	US
Telephone Number	:	305-510-6698
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	AMERICA GUZMAN CARRERA
Credential	:
Telephone Number	:	305-510-6698

Provider Enumeration Date	:	03/12/2026
Last Update Date	:	03/12/2026

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Directions to “VICTORIA WELLNESS CORP ” Practice Location

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