Provider Demographics
NPI:1508376450
Name:APEX HEALTH WELLINGTON LLC
Entity Type:Organization
Organization Name:APEX HEALTH WELLINGTON LLC
Other - Org Name:MEDI-WEIGHTLOSS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:TALANO
Authorized Official - Suffix:
Authorized Official - Credentials:MHA, FACHE
Authorized Official - Phone:239-784-2214
Mailing Address - Street 1:625 TAMIAMI TRL N STE 201
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34102-8143
Mailing Address - Country:US
Mailing Address - Phone:239-784-2214
Mailing Address - Fax:239-790-5777
Practice Address - Street 1:1411 N FLAGLER DR STE 7600
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-3419
Practice Address - Country:US
Practice Address - Phone:561-655-6334
Practice Address - Fax:561-892-6334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-05
Last Update Date:2017-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME125307208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty