Organization Active NPI

Medcare Wellness Providers Corp.

  • Public Health or Welfare Agency
  • Winter Park, FL
National Provider Identifier
1124364492
Registry record updated Dec 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
MEDCARE WELLNESS PROVIDERS CORP.
Practice address
2311 Lee Rd
Suite 110
Winter Park, FL 32789-1749
Phone
(888) 902-7114
Fax
(954) 302-7635
NPI assigned
Dec 14, 2012
Last updated
Dec 14, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Angelo Correa
Title
Ceo
Phone
(678) 683-2223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

2311 Lee Rd
Suite 110
Winter Park, FL 32789-1749

Mailing address

6750 N Andrews Ave
Suite 200
Fort Lauderdale, FL 33309-2173
Phone (888) 902-7114

National Provider Directory

National Provider Directory

Locations

2311 Lee Rd
Ste 110
Winter Park, FL 32789
Phone (888) 902-7114

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1355443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355443200000",
    "number": "1124364492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6750 N ANDREWS AVE",
            "address_2": "SUITE 200",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333092173",
            "telephone_number": "888-902-7114",
            "fax_number": "954-302-7635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 LEE RD",
            "address_2": "SUITE 110",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327891749",
            "telephone_number": "888-902-7114",
            "fax_number": "954-302-7635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCARE WELLNESS PROVIDERS CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-14",
        "last_updated": "2012-12-14",
        "status": "A",
        "authorized_official_last_name": "CORREA",
        "authorized_official_first_name": "ANGELO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-683-2223"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.