Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Welaka Clinic Inc

Organization Family Medicine Physician · NPI 1184651168

Welaka Clinic Inc is a Family Medicine Physician in Welaka, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
Specialties on file
7
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

405 Elm St
Welaka, FL 32193-1110
Phone: (386) 467-3171
Fax: (386) 467-3174
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence ME75694 (FL)
Family Medicine Physician Taxonomy 207Q00000X · Licence OS0006099 (FL)
Family Medicine Physician Taxonomy 207Q00000X · Licence OS8101 (FL)
Internal Medicine Physician Taxonomy 207R00000X · Licence 17713 (FL)
Internal Medicine Physician Taxonomy 207R00000X · Licence ME54534 (FL)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence ME0059459 (FL)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence ME85684 (FL)

Record details

NPI number1184651168
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gary Buckman — Administrator · (386) 467-3171
NPI enumeratedJune 27, 2006
Last updated in NPPESSeptember 11, 2025
Mailing addressPo Box 1110, Welaka, FL 32193-1110