Provider Demographics
NPI:1003371519
Name:AFFORDABLE MEDICAL CLINIC OF WELLII
Entity Type:Organization
Organization Name:AFFORDABLE MEDICAL CLINIC OF WELLII
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:DREXLER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:561-758-2271
Mailing Address - Street 1:12773 FOREST HILL BLVD STE 1203
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-4760
Mailing Address - Country:US
Mailing Address - Phone:561-758-2271
Mailing Address - Fax:
Practice Address - Street 1:12773 FOREST HILL BLVD STE 1203
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414-4760
Practice Address - Country:US
Practice Address - Phone:561-758-2271
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-08
Last Update Date:2019-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports MedicineGroup - Single Specialty