Organization Active NPI

Wellness and Preventive Care of SWFL. LLC

  • Primary Care Clinic/Center
  • Lehigh Acres, FL
National Provider Identifier
1346829041
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
WELLNESS AND PREVENTIVE CARE OF SWFL. LLC
Doing business as
Wellness and Preventive Care of SWFL. LLC
Practice address
5598 8TH St W Unit 4
Lehigh Acres, FL 33971-3397
Phone
(941) 451-3361
NPI assigned
Apr 7, 2021
Last updated
Apr 7, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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

Authorized official

Name
Miladys Albolay Iglesias, APRNNPI 1427681006
Title
Aprn
Phone
(941) 451-3361

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

5598 8TH St W Unit 4
Lehigh Acres, FL 33971-3397

Mailing address

112 Ortona St
Lehigh Acres, FL 33936-5334
Phone (194) 145-1336

Other identifiers 1

IdentifierTypeStateIssuer
105654200MedicaidFL

Other names 1

  • Wellness and Preventive Care of SWFL. LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL WPCOFSWFL@YAHOO.COM Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210816001800 FL Part B Supplier - Clinic/Group Practice 7719382621 Receives reassigned benefits from 1 practitioner
Practice locations: Lehigh Acres, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2231904Wellness and Preventive Care of SWFL, LLC5598 8TH St W - Ste 4, Lehigh Acres, FL 33971Certificate of waiverAug 8, 2027

National Provider Directory

National Provider Directory

Locations

5598 8th St W
Unit 4
Lehigh Acres, FL 33971
Phone (239) 674-7578

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617753600000",
    "number": "1346829041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 ORTONA ST",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339365334",
            "telephone_number": "194-145-1336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5598 8TH ST W UNIT 4",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339713397",
            "telephone_number": "941-451-3361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS AND PREVENTIVE CARE OF SWFL. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-07",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A",
        "authorized_official_last_name": "ALBOLAY IGLESIAS",
        "authorized_official_first_name": "MILADYS",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "941-451-3361",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105654200",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WPCOFSWFL@YAHOO.COM",
            "affiliation": "N",
            "endpointDescription": "EMAIL ADDRESS",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5598 8TH ST W UNIT 4",
            "city": "Lehigh Acres",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339713397",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Wellness and Preventive Care of SWFL. LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lehigh Acres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.