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BEYOND THE BODY WELLNESS LLC

Primary Care

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Contact Information

BEYOND THE BODY WELLNESS LLC
1121 HOMESTEAD RD N STE 279
LEHIGH ACRES, FL  33936-6038
 Phone: 765-432-7195
 Fax:
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Primary Care

 363LP2300X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for BEYOND THE BODY WELLNESS LLC

NPI Number 1194473751
LBN Legal business name BEYOND THE BODY WELLNESS LLC
Authorized official DEDRA COOP - (NP/PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/14/2022
Last updated 03/14/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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