Wellcare Diabetic & Medical Supplies

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

647751-7 Issued in FL

Legal business name

WELLCARE DIABETIC & MEDICAL SUPPLIES

Doing business as

Prestab Co

Practice address

28400 S Dixie Hwy
Homestead, FL 33033-1211

Phone

(305) 245-0220

Fax

(305) 245-0210

NPI assigned

Sep 3, 2008

Last updated

Sep 3, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Alexis Basulto

Title

President

Phone

(305) 245-0220

Specialties & licenses 1

Addresses

Other names 1

• Prestab Co Doing business as

Locations

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220400000000",
    "number": "1780832790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 831225",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "332831225",
            "telephone_number": "305-245-0220",
            "fax_number": "305-245-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28400 S DIXIE HWY",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330331211",
            "telephone_number": "305-245-0220",
            "fax_number": "305-245-0210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLCARE DIABETIC & MEDICAL SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-03",
        "last_updated": "2008-09-03",
        "status": "A",
        "authorized_official_last_name": "BASULTO",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-245-0220",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "647751-7",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prestab Co",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• We Care ABA Center Inc
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• Mark Weinstein, MD
• Sheryl A Weir-Thompson, LMHC
• Willis Welcome
• Wellcare Integral Clinic Corp
• Wellness Social Attend Corp
• Barbara Dee Wells, RN, LMT
• Alina Wendling
• Bethany West, RBT

• Durable Medical Equipment & Medical Supplies in Homestead, FL
• Providers in Homestead, 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 Sep 3, 2008; 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.