MILESTONES WELLNESS CENTERS (NPI# 1730638842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730638842 |
| Entity Type | Organization |
| Organization Name | MILESTONES WELLNESS CENTERS |
| Practice Address |
3900 Broadway Ste 7 Fort Myers FL 33901-8193 |
| Practice Telephone | 2399310907 |
| Practice Fax Number | 2393090330 |
| Mailing Telephone | 2399310907 |
| Mailing Fax Number | 2393090330 |
| Enumeration Date | 2016-09-30 |
| Last Update Date | 2016-09-30 |
| Authorized Official Name | DR. LOUIS KOVACS (CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 2399310907 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LA0401X |
Anesthesiology Specialization: Addiction Medicine |
OS1417 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | FLORIDA TAX PERMIT | BUS2016-00728 | 01 |
| Street Address |
3900 BROADWAY STE 7 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33901-8193 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750656781 | Region Medical Center, Inc | Clinic/Center | 3900 Broadway, Bldg A Unit 1, Fort Myers, FL 33901-8193 | 2012-03-08 |
| 1710257001 | First Southwest Medical Rehab, LLC | Chiropractor | 3900 Broadway, Suite D10, Fort Myers, FL 33901-8193 | 2012-01-04 |
| 1811139678 | Jessica Robertson Carr | Counselor | 3900 Broadway, Suite B1, Fort Myers, FL 33901 | 2009-03-25 |
| 1649419920 | Christina Marie Reynolds | Counselor | 3900 Broadway, Suite B-1, Fort Myers, FL 33901-8193 | 2009-02-11 |
| 1588812945 | Ft. Myers Women's Health Center, Inc. | Obstetrics & Gynecology | 3900 Broadway, Bldg C, Fort Myers, FL 33901-8193 | 2008-08-28 |
| 1407003296 | Val Rae Gill | Counselor | 3900 Broadway, Suite B-1, Fort Myers, FL 33901-8193 | 2008-08-22 |
| 1649476300 | Fernando Ricardo Betancourt | Obstetrics & Gynecology | 3900 Broadway, Bldg C, Fort Myers, FL 33901-8193 | 2007-06-21 |
| 1881811834 | Susan Lee Puccio | Counselor | 3900 Broadway, Fort Myers, FL 33901-8193 | 2007-04-19 |
| 1598899494 | Valerie Crandall Md Pa | Ophthalmology | 3900 Broadway, Suite 14, Fort Myers, FL 33901-8193 | 2007-03-15 |
| 1689719197 | Sheila Kay Robinson | Counselor | 3900 Broadway, Suite B1, Fort Myers, FL 33901-8193 | 2007-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811536972 | Daniel Wolfe | Speech-Language Pathologist | 3375 Evans Avenue, Fort Myers, FL 33901 | 2020-01-06 |
| 1841764065 | Medicab Transportation, LLC | Ambulance | 3049 Cleveland Avenue, Suite 275, Fort Myers, FL 33901 | 2019-01-22 |
| 1760963649 | Jamies Home Care Services LLC | Home Health | 1944 Suwanee Ave, Fort Myers, FL 33901 | 2018-08-28 |
| 1942673900 | Adriana Ramnarine | Dietitian, Registered | 2727 Winkler Ave., Fort Myers, FL 33901 | 2015-11-12 |
| 1215327093 | Carecommunity Inc. | Foster Care Agency | 4066 Evans Ave Ste 4, Fort Myers, FL 33901 | 2015-01-30 |
| 1013327832 | Neck Pain Back Pain and Headache Relief Center of Ft. Myers, LLC | Chiropractor | 4144 Cleveland Ave, Suite 2, Ft. Myers, FL 33901 | 2014-05-01 |
| 1588087076 | Larry Philip Garrett | Family Medicine | 3543 Stuart Ct, Fort Myers, FL 33901 | 2014-02-04 |
| 1144657479 | Janet M Michael | Registered Nurse | 3763 Evans Ave., Fort Myers, FL 33901 | 2013-10-01 |
| 1366879785 | Gina Lee Guerrero | Licensed Practical Nurse | 3736 Evans Ave, Fort Myers, FL 33901 | 2013-09-30 |
| 1396186649 | Ronald Edward Trapp | Dentist | 2470 Edison Ave, Project Dentists Care of Sw Florida, Fort Myers, FL 33901 | 2013-07-16 |
| Find all providers in zip 33901 | ||||
| Taxonomy Code | 207LA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Addiction Medicine |
| An anesthesiologist who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649523051 | Alternative Medical Institute Corp. | Anesthesiology | 20 Barkley Cir, Suite 201, Fort Myers, FL 33907-4545 | 2012-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417386624 | Ocean Addiction Recovery Services, LLC | Anesthesiology | 1705 19 Pl, Ste E-2, Vero Beach, FL 32960 | 2013-11-07 |
| 1174863757 | Total Patient Care of Ocala, Inc. | Anesthesiology | 3320 Sw 33rd Road, Suite 200, Ocala, FL 34474-7427 | 2013-02-19 |
| 1841422797 | Douglas W Moreland | Anesthesiology | 1705 19th Pl Ste E2, Vero Beach, FL 32960-0688 | 2009-08-11 |
| 1447474390 | Terel S Newton | Anesthesiology | 9191 R G Skinner Pkwy Unit 303, Jacksonville, FL 32256-9658 | 2007-04-12 |
| 1356339840 | Su-min Oon | Anesthesiology | 1131 Nw 64th Ter, Suite C, Gainesville, FL 32605-4218 | 2005-10-10 |
| 1679568182 | Lester N Hauge | Anesthesiology | 2416 Lynndale Rd, Suite 110, Fernandina Beach, FL 32034-5252 | 2005-09-12 |
| 1467454322 | Anthony Otis Russell | Anesthesiology | 2727 Capital Medical Blvd, Tallahassee, FL 32308-4403 | 2005-08-11 |
| 1891315859 | Sanjay Sastry Md Pa | Anesthesiology | 612 Palmetto St, New Smyrna Beach, FL 32168-7327 | 2020-04-20 |
| 1790344927 | Tallahassee Memorial Healthcare Inc | Anesthesiology | 2727 Capital Medical Blvd, Tallahassee, FL 32308-4403 | 2019-06-11 |
| 1356881213 | Thomas Raulerson Md and Farm Inc | Anesthesiology | 926 Nw 13th St, Gainesville, FL 32601-4140 | 2017-02-27 |
| Find all providers with the same taxonomy | ||||
| City | FORT MYERS |
| Zip Code | 33901 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.