Wellcare of Illinois, Inc.

NPI #1154172963 in Tampa, Florida

Provider Information

NPI Number
1154172963
Entity Type
Organization
Organization Name
Wellcare of Illinois, Inc.
Primary Specialty
Preferred Provider Organization
Enumeration Date
Mar 29, 2024
Last Updated
May 24, 2024

Practice Location

Address
8725 HENDERSON RD
City
Tampa
State
Florida
ZIP Code
33634-1143
Phone
(813) 206-1393

Authorized Official

Name
KENDRA ARCHER
Title
VICE PRESIDENT, BOARD SECRETARY
Phone
(813) 206-1393

Specialties & Taxonomy Codes

Specialty
Preferred Provider Organization

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