Wellco Med Corp.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

WELLCO MED CORP.

Practice address

2100 E Hallandale Beach Blvd
Suite 101a
Hallandale Beach, FL 33009-3765

Phone

(954) 628-6572

NPI assigned

Mar 15, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Eteri Gofman

Title

President

Phone

(954) 628-6572

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1300147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300147200000",
    "number": "1609175702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 E HALLANDALE BEACH BLVD",
            "address_2": "SUITE 101A",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330093765",
            "telephone_number": "954-628-6572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 E HALLANDALE BEACH BLVD",
            "address_2": "SUITE 101A",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330093765",
            "telephone_number": "954-628-6572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLCO MED CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-15",
        "last_updated": "2011-03-15",
        "status": "A",
        "authorized_official_last_name": "GOFMAN",
        "authorized_official_first_name": "ETERI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-628-6572",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moriyah Warszawski
• Kerrian Watson
• Quinton Daniel Watson, PTA, LMT
• WCRX Billing LLC
• Elliott B. Weinger, M.D.
• Wellness Center of NMB
• Wellness Companies of Florida Corp
• Wellpoint Integrative Care PA
• West Broward Ipa
• West Broward Ipa, L.L.C

• Durable Medical Equipment & Medical Supplies in Hallandale Beach, FL
• Providers in Hallandale Beach, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; 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.