MEDICAL SERVICE GROUP LLC (NPI# 1467958082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467958082 |
| Entity Type | Organization |
| Organization Name | MEDICAL SERVICE GROUP LLC |
| Practice Address |
11576 Pierson Rd Ste K6 Wellington FL 33414-8765 |
| Mailing Address |
6801 Lake Worth Rd Ste 350 Greenacres FL 33467-2974 |
| Practice Telephone | 5613377976 |
| Mailing Telephone | 5613377976 |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2018-04-03 |
| Authorized Official Name | THOMAS SMITH (CEO) |
| Authorized Official Telephone | 5613377976 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
56081347114901 | FL | Ambulatory Health Care Facilities |
| Street Address |
11576 PIERSON RD STE K6 |
| City | WELLINGTON |
| State | FL |
| Zip Code | 33414-8765 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932707247 | Juana Maria Gonzales | Home Health | 2766 Penhall Ct, Wellington, FL 33414 | 2020-10-09 |
| 1821601089 | Wellington Rehab and Health Center, LLC | Skilled Nursing Facility | 10330 Nu Vista Ave, Wellington, FL 33414 | 2020-08-27 |
| 1730661158 | Michelle Alexis Anagnostu | Nurse Practitioner | 1447 Medical Park Blvd Suite 406, Wellington, FL 33414 | 2018-09-01 |
| 1932686193 | Borola Inc | Occupational Therapy Assistant | 1985 Canterbury Circle, Wellington, FL 33414 | 2018-07-20 |
| 1841783156 | Kid'z World Advance Inc | Behavioral Analyst | 2400 Wrotham Ter, Wellington, FL 33414 | 2018-06-11 |
| 1134619489 | Devin Michael Scheller | Counselor | 2077 Vinings Circle Apt 1303, Wellington, FL 33414 | 2018-05-12 |
| 1942726617 | Amanda Hardy | Social Worker | 11120 South Way, Suite 1, Wellington, FL 33414 | 2017-08-15 |
| 1467976423 | Dawn Carnegia Blackshear | Nurse Practitioner | 1397 Medical Park Blvd Ste 480, Wellington, FL 33414 | 2017-08-01 |
| 1508390238 | Morgan Mccollum | Speech-Language Pathologist | 2158 Polo Gardens Dr Apt 203, Wellington, FL 33414 | 2017-04-19 |
| 1003369786 | Memite G Charlemagne | Registered Nurse | 184 Berenger Walk, Royal Palm Beach, FL 33414 | 2016-07-28 |
| Find all providers in zip 33414 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164920005 | Compassionate Care Recovery Inc | Clinic/Center | 642 W Rambling Dr, Wellington, FL 33414-5024 | 2018-01-25 |
| 1104226497 | Footsteps To Freedom Recovery | Clinic/Center | 3319 State Road 7 Ste 301, Wellington, FL 33449-8093 | 2014-08-25 |
| 1104372127 | Wellington Counseling & Associates | Clinic/Center | 12794 Forest Hill Blvd, Suite 18, Wellington, FL 33414-4710 | 2016-08-30 |
| 1104295583 | Liberty House LLC | Clinic/Center | 9314 Forest Hill Blvd, 313, Wellington, FL 33411-6577 | 2015-09-16 |
| 1396086880 | Peace of Mind Wellness Center, LLC | Clinic/Center | 12785 Forest Hill Blvd, Suite 8c, Wellington, FL 33414-4777 | 2013-03-07 |
| 1205164415 | Wellington Counseling & Associates | Clinic/Center | 12794 W Forest Hill Blvd, Suite 18b, Wellington, FL 33414-4710 | 2009-11-28 |
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| 1558908517 | Caring Hands Wellness Center, Inc | Clinic/Center | 3601 W Commercial Blvd Ste 22, Fort Lauderdale, FL 33309-3320 | 2019-12-09 |
| 1750937041 | The Process Treatment Center, LLC | Clinic/Center | 521 Northlake Blvd Ste 1, North Palm Beach, FL 33408-5418 | 2019-08-13 |
| 1083275804 | Jayson Williams Center Inc. | Clinic/Center | 5499 N Federal Hwy Ste Gandl2, Boca Raton, FL 33487-4993 | 2019-06-24 |
| 1053970053 | Alternatives for You, LLC | Clinic/Center | 8895 N Military Trl Ste 101e, West Palm Beach, FL 33410-6262 | 2019-06-12 |
| 1700443520 | American Detox and Wellness Center | Clinic/Center | 12150 Cortez Blvd, Brooksville, FL 34613-5575 | 2019-05-28 |
| 1982268058 | M.a.t. of The Palm Beaches LLC | Clinic/Center | 321 Northlake Blvd Ste 116, North Palm Beach, FL 33408-5410 | 2019-04-24 |
| Find all providers with the same taxonomy | ||||
| City | WELLINGTON |
| Zip Code | 33414 |
Please comment or provide details below to improve the information on MEDICAL SERVICE GROUP LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.