| K C Wellness Lounge LLC | |
|
4400 W Sample Rd Ste 112 Coconut Creek FL 33073-3457 | |
| (954) 546-4378 | |
| Not Available |
| Full Name | K C Wellness Lounge LLC |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 4400 W Sample Rd Ste 112, Coconut Creek, Florida |
| Authorized Official Name and Position | Kerleine Jessica Rosemey (MANAGING MEMBER) |
| Authorized Official Contact | 9544648592 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| K C Wellness Lounge LLC 4400 W Sample Rd Ste 112 Coconut Creek FL 33073-3457 | K C Wellness Lounge LLC 4400 W Sample Rd Ste 112 Coconut Creek FL 33073-3457 Ph: (954) 546-4378 |
| NPI Number | 1245121995 |
|---|---|
| Provider Enumeration Date | 07/11/2025 |
| Last Update Date | 12/24/2025 |
| Certification Date | 12/24/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245121995 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
| 363LF0000X | Nurse Practitioner - Family | () | Secondary |
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