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THE BILTMORE GROUP LLC NPI 1669792461


NPI Information

NPI: 1669792461
Provider Name: THE BILTMORE GROUP LLC

Doing Business As: PHYSICIANS WELLNESS CENTER FORT MYERS

Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 10D1053895

Address:
3677 CENTRAL AVE
SUITE B
FORT MYERS, FL
ZIP 33901
Phone: (239) 938-0007
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THE BILTMORE GROUP LLC is a general practice in Fort Myers, FL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee THE BILTMORE GROUP LLC NPI is 1669792461. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Physicians Wellness Center Fort Myers.

The provider's business location address is:

3677 CENTRAL AVE
SUITE B
FORT MYERS, FL
ZIP 33901-226
Phone: (239) 938-0007
Fax: (239) 938-0008

The provider's authorized official is John Thaddeus Legowik .
The authorized official title is Owner and has the following contact phone number (239) 938-0007.

The CLIA number assigned to this NPI record is 10D1053895 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/3/2010 and was last updated on 6/3/2010.


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
1208D00000XGeneral PracticeME25156FLORIDAYes

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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