Provider Demographics
NPI:1184378473
Name:INSPIRE EXERCISE MEDICINE LLC
Entity type:Organization
Organization Name:INSPIRE EXERCISE MEDICINE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:BUNNELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-470-4048
Mailing Address - Street 1:3530 KRAFT RD STE 204
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34105-5020
Mailing Address - Country:US
Mailing Address - Phone:239-429-0800
Mailing Address - Fax:239-421-8209
Practice Address - Street 1:3555 KRAFT RD # 130
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34105-5037
Practice Address - Country:US
Practice Address - Phone:239-429-0800
Practice Address - Fax:139-421-8209
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PINNACLE HEALTH AND WELLNESS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-02-07
Last Update Date:2022-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No133N00000XDietary & Nutritional Service ProvidersNutritionistGroup - Multi-Specialty
No224Y00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersClinical Exercise PhysiologistGroup - Multi-Specialty