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Johanna Blancaflor Wellington

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

9320 State Road 54, Trinity, FL 34655-1808

PECOS Enrollment

This provider is enrolled in PECOS as JOHANNA WELLINGTON.

Based on the most recent information from CMS, provider Johanna Blancaflor Wellington is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 9:24 AM.

Profile Details

Provider ID
1215459763
Provider Type
Individual
Full Name
Wellington, Johanna Blancaflor
Credential
APRN

Gender
Female
Sole Proprietor
Yes
Enumeration Date
7/15/2017
Last Updated
8/25/2025

Contact Information

Practice Location

9320 State Road 54, Trinity, FL 34655-1808

(727) 842-8411

(877) 917-2336

Mailing Location

PO Box 102222, Atlanta, GA 30368-2222

(239) 274-8200

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License APRN11024240 Florida

Johanna Blancaflor Wellington

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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