| Winter Garden Health And Wellness, Llc | |
|
15122 Heron Hideaway Cir Winter Garden FL 34787-1707 | |
| (407) 810-0923 | |
| Not Available |
| Full Name | Winter Garden Health And Wellness, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 15122 Heron Hideaway Cir, Winter Garden, Florida |
| Authorized Official Name and Position | Melodie J Mope (OWNER/PHYSICIAN) |
| Authorized Official Contact | 4078100923 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Winter Garden Health And Wellness, Llc 15122 Heron Hideaway Cir Winter Garden FL 34787-1707 Ph: () - | Winter Garden Health And Wellness, Llc 15122 Heron Hideaway Cir Winter Garden FL 34787-1707 Ph: (407) 810-0923 |
| NPI Number | 1407473531 |
|---|---|
| Provider Enumeration Date | 07/06/2020 |
| Last Update Date | 07/06/2020 |
| Medicare PECOS PAC ID | 2264856095 |
|---|---|
| Medicare Enrollment ID | O20200727000391 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407473531 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Melodie J Mope |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861636649 PECOS PAC ID: 4880845262 Enrollment ID: I20121112000512 |
| Provider Name | Stephanie Np Humphrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821624644 PECOS PAC ID: 8123419090 Enrollment ID: I20220104000069 |
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