| Organization Name: | US MEDICAL CARE WELLINGTON, LLC |
| NPI Number: | 1689946824 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SASSON MOULAVI (MEDICAL DIRECTOR) |
| Mailing Address: | 11903 Southern Blvd Suit 108 Royal Palm Beach |
| State: | FL US |
| Postal Code: | 334117644 |
| Phone Number: | 5617922000 |
| Fax Number: | 5617922090 |
| NPI Enumeration Date: | 02/03/2012 |
| NPI Last Update Date: | 02/03/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | ME83741 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |