Provider Demographics
NPI:1952765455
Name:REZPAR ENTERPRISES, INC.
Entity Type:Organization
Organization Name:REZPAR ENTERPRISES, INC.
Other - Org Name:INSTITUTE4WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSSELI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-415-4944
Mailing Address - Street 1:2375 NE 25TH AVE
Mailing Address - Street 2:SUITE 106
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34470-3973
Mailing Address - Country:US
Mailing Address - Phone:352-350-1619
Mailing Address - Fax:
Practice Address - Street 1:2375 NE 25TH AVE
Practice Address - Street 2:SUITE 106
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34470-3973
Practice Address - Country:US
Practice Address - Phone:352-350-1619
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-11
Last Update Date:2016-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes291U00000XLaboratoriesClinical Medical Laboratory
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Multi-Specialty