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RE3 STEM CELL AND HEALING INSTITUTE PLLC NPI 1407397540


NPI Information

NPI: 1407397540
Provider Name: RE3 STEM CELL AND HEALING INSTITUTE PLLC

Doing Business As: RE3 INNOVATIVE NEUROSCIENCE INSTITUTE

Classification: Neurological Surgery - 207T00000X
Entity Type: Organization

CLIA Number: 10D2145815

Address:
4012 SAWYER RD
SUITE 101-104
SARASOTA, FL
ZIP 34233
Phone: (217) 552-3425
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RE3 STEM CELL AND HEALING INSTITUTE PLLC is a neurological surgery in Sarasota, FL. The provider is a neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. RE3 STEM CELL AND HEALING INSTITUTE PLLC NPI is 1407397540. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Re3 Innovative Neuroscience Institute.

The provider's business location address is:

4012 SAWYER RD
SUITE 101-104
SARASOTA, FL
ZIP 34233-231
Phone: (217) 552-3425

The provider's authorized official is Huan Wang .
The authorized official title is Manager and has the following contact phone number (941) 893-2688.

The CLIA number assigned to this NPI record is 10D2145815 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/8/2017 and was last updated on 2/15/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084A2900XPsychiatry & NeurologyNeurocritical CareNo
22084N0400XPsychiatry & NeurologyNeurologyNo
3207T00000XNeurological SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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