Provider Demographics
NPI:1295351831
Name:CAREWELL MOBILE LLC
Entity type:Organization
Organization Name:CAREWELL MOBILE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:COLIN
Authorized Official - Middle Name:C
Authorized Official - Last Name:CONNER
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:407-924-7620
Mailing Address - Street 1:1754 E COMMERCIAL BLVD
Mailing Address - Street 2:
Mailing Address - City:OAKLAND PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33334-5721
Mailing Address - Country:US
Mailing Address - Phone:844-762-3701
Mailing Address - Fax:
Practice Address - Street 1:1754 E COMMERCIAL BLVD
Practice Address - Street 2:
Practice Address - City:OAKLAND PARK
Practice Address - State:FL
Practice Address - Zip Code:33334-5721
Practice Address - Country:US
Practice Address - Phone:844-762-3701
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-19
Last Update Date:2020-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty