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10D2066076 CLIA NUMBER - HEALTH AND WELLNESS CENTER DBA EVERNORTH DIRECT HEALTH LLC

Laboratory Demographics

CLIA Number: 10D2066076

Facility Name: HEALTH AND WELLNESS CENTER DBA EVERNORTH DIRECT HEALTH LLC

Facility Address:
1039 S STATE RD 7
WELLINGTON, FL
ZIP 33414
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Facility Phone Number: 480 868-0646

Facility Type: Other - OUTPATIENT

Certificate Type: Waiver
NPI Number: 1952808792

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 10D2066076
LAB Type Other - OUTPATIENT
Facility Name HEALTH AND WELLNESS CENTER DBA EVERNORTH DIRECT HEALTH LLC
Street 1039 S STATE RD 7
City WELLINGTON
State FL
ZIP 33414
Phone 480 868-0646
CertificateType 4
CertificateEffectiveDate 9/20/2023
CertificateExpirationDate 9/19/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024