| Family Wellness Clinic Llp | |
|
7236 State Road 52 Ste 13 Hudson FL 34667-6749 | |
| (727) 233-6084 | |
| Not Available |
| Full Name | Family Wellness Clinic Llp |
|---|---|
| Speciality | Clinic/Center |
| Location | 7236 State Road 52 Ste 13, Hudson, Florida |
| Authorized Official Name and Position | Kayode Balogun (CEO) |
| Authorized Official Contact | 8622162617 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Wellness Clinic Llp 7236 State Road 52 Ste 13 Hudson FL 34667-6749 Ph: (727) 233-6084 | Family Wellness Clinic Llp 7236 State Road 52 Ste 13 Hudson FL 34667-6749 Ph: (727) 233-6084 |
| NPI Number | 1134888621 |
|---|---|
| Provider Enumeration Date | 12/11/2021 |
| Last Update Date | 01/10/2025 |
| Medicare PECOS PAC ID | 8527596212 |
|---|---|
| Medicare Enrollment ID | O20250108003136 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134888621 | NPI | - | NPPES |
| 210079717 | Medicaid | MO |
| Provider Name | Kayode M Balogun |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1033759089 PECOS PAC ID: 5890140537 Enrollment ID: I20231016001613 |
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