Provider Demographics
NPI:1578750360
Name:WELLINGTON REGIONAL URGENT CARE CENTER, L.L.C.
Entity Type:Organization
Organization Name:WELLINGTON REGIONAL URGENT CARE CENTER, L.L.C.
Other - Org Name:WELLINGTON REGIONAL URGENT CARE AND OCCUPATIONAL MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:DILALLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-798-8500
Mailing Address - Street 1:440 N STATE ROAD 7
Mailing Address - Street 2:SUITE 101
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-3504
Mailing Address - Country:US
Mailing Address - Phone:561-472-2555
Mailing Address - Fax:561-333-8151
Practice Address - Street 1:440 N STATE ROAD 7
Practice Address - Street 2:SUITE 101
Practice Address - City:ROYAL PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-3504
Practice Address - Country:US
Practice Address - Phone:561-472-2555
Practice Address - Fax:561-333-8151
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-26
Last Update Date:2007-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care