Provider Demographics
NPI:1841511722
Name:WELLNESS HEALTH CARE INC
Entity type:Organization
Organization Name:WELLNESS HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EDUARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:BORGES
Authorized Official - Suffix:
Authorized Official - Credentials:MR
Authorized Official - Phone:305-603-7712
Mailing Address - Street 1:4401 SW 8TH ST
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-2540
Mailing Address - Country:US
Mailing Address - Phone:305-603-7712
Mailing Address - Fax:305-603-8103
Practice Address - Street 1:4401 SW 8TH ST
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-2540
Practice Address - Country:US
Practice Address - Phone:305-603-7712
Practice Address - Fax:305-603-8103
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-15
Last Update Date:2010-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLMM 24830OtherSTATE OF FLORIDA