Provider Demographics
NPI:1083114581
Name:ASCLEPIUSHEALTHGROUP,LLC
Entity Type:Organization
Organization Name:ASCLEPIUSHEALTHGROUP,LLC
Other - Org Name:WELLNESS INSTITUTE OF DOWNTOWN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEAN-JACQUE
Authorized Official - Middle Name:
Authorized Official - Last Name:VEL
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:954-496-1170
Mailing Address - Street 1:1617 HENDRY ST STE 308
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33901-2934
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1617 HENDRY ST STE 308
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33901-2934
Practice Address - Country:US
Practice Address - Phone:239-308-8217
Practice Address - Fax:239-236-1501
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:-
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-02-20
Last Update Date:2018-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care