Jade Clinic Family And Wellness Center Corp
LBN: Jade Clinic Family And Wellness Center Corp
Jade Clinic Family And Wellness Center Corp is an health care organization with primary practice located at 2665 Cleveland Ave Ste 208 , Fort Myers FL 33901-5850. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is the primary health care specialty.
Jade Clinic Family And Wellness Center Corp can be contacted via phone (239) 839-1950, or through Damera, Teresa D via phone (786) 475-0034.
Contact Information
Primary practice address
2665 Cleveland Ave Ste 208
Fort Myers FL 33901-5850
Phone: (239) 839-1950
Fax: (239) 236-1665
Website:
Authorized official contact:
Name: Damera, Teresa D Advanced Practice Registered Nurse (APRN)
Phone: (786) 475-0034
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X |
Profile Details
| NPI number | 1912587825 |
|---|---|
| LBN Legal business name | Jade Clinic Family And Wellness Center Corp |
| DBA Doing business as | |
| Authorized official | Damera, Teresa D Advanced Practice Registered Nurse (APRN) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 13th, 2021 |
| Last updated | Aug 30th, 2021 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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