Well-being Community Center, Corp.
Internal Medicine Physician in Tampa, FL(View on Map)
Legal Business Name
Well-being Community Center, Corp.
NPI Number
1114430949
NPI Type
Organization
Enumeration Date
11/15/2017
Specialties
(Taxonomies)Code
207R00000X
103K00000X
251B00000X
208D00000X
Primary Taxonomy
Yes
No
No
No
Contact
Information
Purpose
Mailing
Location
Address
2706 W ST ISABEL ST
2706 W ST ISABEL ST
City
Tampa
Tampa
State
FL
FL
Postal Code
33607-6382
33607-6382
Country
US
US
Telephone Number
(813) 769-9571
(813) 769-9571
Authorized Official
Name
Mrs. Margarita De La Rosa
Title or Position
CEO
Telephone Number
(813) 769-9571
Identifiers
Identifier
101692101
105731200
105731201
105430400
023311300
105482700
101692100
Identifier State
FL
FL
FL
FL
FL
FL
FL
Identifier Issuer
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 08/01/2022
Provider Address
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