Wellington Primary Care Llc

NPI Registration Record

Provider / Organization	NPI	Date Certified
WELLINGTON PRIMARY CARE LLC	1922625060	2020-07-05

The organization Wellington Primary Care Llc is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1922625060. Registration indicates Wellington Primary Care Llc is a provider of access to adult/geriatric primary care providers services with a specialization in Allopathic & Osteopathic Physicians, Internal Medicine Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, Internal Medicine) (Internal Medicine, ) (Allopathic & Osteopathic Physicians, Internal Medicine) (Primary Care/Family Planning/APRN/PA, ) (Internal Medicine, Allopathic & Osteopathic Physicians)

Entity Type	Organization

Provider Organization	WELLINGTON PRIMARY CARE LLC
Practice Office Address	12959 PALMS WEST DR STE 210 LOXAHATCHEE, FL US
Practice Office Telephone	5613348988
Mailing Address	12959 PALMS WEST DR STE 210 LOXAHATCHEE, FL 334704940 US
Business Telephone	5613348988
Authorized Official	EDITHA PANGAN, MANAGING MEMBER 5613348988

HPT Codes

Code	Practice	License No State
207R00000X PRIMARY	Access to Adult/Geriatric Primary Care Providers Allopathic & Osteopathic Physicians Internal MedicineAccess to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians Internal Medicine Internal Medicine Allopathic & Osteopathic Physicians Internal Medicine Primary Care/Family Planning/APRN/PA Internal Medicine Allopathic & Osteopathic Physicians
193400000X SING		Group Code

OPI Codes

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