Provider Demographics
NPI:1396338786
Name:YOU & WEE LLC
Entity type:Organization
Organization Name:YOU & WEE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER AND LEAD PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JARED
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:WALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:815-703-0376
Mailing Address - Street 1:5613 MAUNA LOA BLVD UNIT 210
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34240-8991
Mailing Address - Country:US
Mailing Address - Phone:815-703-0376
Mailing Address - Fax:
Practice Address - Street 1:5741 BEE RIDGE RD STE 500
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34233-5061
Practice Address - Country:US
Practice Address - Phone:941-212-1600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-16
Last Update Date:2021-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty