Beyond the Body Wellness LLC

NPI #1194473751 in Lehigh Acres, Florida

Provider Information

NPI Number
1194473751
Entity Type
Organization
Organization Name
Beyond the Body Wellness LLC
Primary Specialty
Nurse Practitioner - Primary Care
Enumeration Date
Mar 14, 2022
Last Updated
Mar 14, 2022

Practice Location

Address
1121 HOMESTEAD RD N STE 279
State
Florida
ZIP Code
33936-6038
Phone
(765) 432-7195

Authorized Official

Name
MRS. DEDRA D COOP, NP
Title
NP/PRESIDENT
Phone
(765) 432-7195

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - Primary CarePrimary Care

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