Renaissance Wellness, Llc

LBN: Renaissance Wellness, Llc
Renaissance Wellness, Llc is an health care organization with primary practice located at 3880 Colonial Blvd Suite 2, Fort Myers FL 33966-1062. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as the primary health care specialty. Renaissance Wellness, Llc can be contacted via phone (239) 590-3883, or through Yankopolus, Konstantine K via phone (239) 590-3883.

Contact Information

Primary practice address
3880 Colonial Blvd Suite 2 Fort Myers FL 33966-1062
Fax: (239) 590-3884
Website:
Authorized official contact:
Name: Yankopolus, Konstantine K Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X ME22595 Florida

Profile Details

NPI number 1922248830
LBN Legal business name Renaissance Wellness, Llc
DBA Doing business as
Authorized official Yankopolus, Konstantine K Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 5th, 2009
Last updated Jul 31st, 2013 - about 11 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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