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NPI Code Detail

MEDICARE: UNIVERSAL WELLCARE, INC

MEDICARE: UNIVERSAL WELLCARE, INC
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
1261QP2300XPrimary Care Clinic/Center

General Provider Information

NPI Number : 1730514068
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNIVERSAL WELLCARE, INC
Provider Business Mailing Address
First Line : 4315 NW 7TH ST
Second Line : SUITE 39
City : MIAMI
State : FL
Zip : 33126-3587
Country : US
Telephone Number : 786-433-3257
Fax Number : 786-433-3259
Provider Business Practice Location Address
First Line : 4315 NW 7TH ST
Second Line : SUITE 39
City : MIAMI
State : FL
Zip : 33126-3587
Country : US
Telephone Number : 786-433-3257
Fax Number : 786-433-3259
Authorized Official
Title or Position : PRESIDENT
Name : EDUARDO SOTOLONGO
Credential :
Telephone Number : 786-433-3257
Provider Enumeration Date : 09/05/2013
Last Update Date : 09/05/2013

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Directions to “UNIVERSAL WELLCARE, INC ” Practice Location

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