Provider Demographics
NPI:1558805044
Name:AMERICARE WELLNESS, LLC.
Entity Type:Organization
Organization Name:AMERICARE WELLNESS, LLC.
Other - Org Name:AMERICARE WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANTONIO
Authorized Official - Middle Name:
Authorized Official - Last Name:SANTOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-705-0067
Mailing Address - Street 1:2828 S SEACREST BLVD
Mailing Address - Street 2:SUITE 213
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33435-7944
Mailing Address - Country:US
Mailing Address - Phone:561-536-3166
Mailing Address - Fax:561-771-1722
Practice Address - Street 1:2828 S SEACREST BLVD
Practice Address - Street 2:SUITE 213
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33435-7944
Practice Address - Country:US
Practice Address - Phone:561-536-3166
Practice Address - Fax:561-771-1722
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-19
Last Update Date:2016-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty