KIMBERLY REGENESIS


Address: 8695 College Parkway, Suite 2080, Ft Myers, FL 33919
Phone: 2393130296

KIMBERLY REGENESIS (NPI# 1811342397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811342397
Entity Type Organization
Organization Name KIMBERLY REGENESIS
Practice Address 8695 College Parkway
Suite 2080
Ft Myers
FL 33919
Mailing Address 14661 Double Eagle Court
Ft Myers
FL 33912
Practice Telephone 2393130296
Mailing Telephone 2393130296
Mailing Fax Number 2399391070
Enumeration Date 2016-05-03
Last Update Date 2016-07-21
Authorized Official Name MR. THOMAS MICHAEL MOURACADE (PRINCIPAL/OWNER)
Authorized Official Telephone 2393130296
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities
Y 261QR0405X Clinic/Center
Specialization: Rehabilitation, Substance Use Disorder
Ambulatory Health Care Facilities

Office Location

Street Address 8695 COLLEGE PARKWAY
SUITE 2080
City FT MYERS
State FL
Zip Code 33919

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073145942 Patricia June Briand Registered Nurse 4309 Mariner Way #307, Fort Myers, FL 33919 2020-02-10
1629556840 The Onyx Counseling Center, LLC Social Worker 6361 Presidential Ct Ste 101, Fort Myers, FL 33919 2018-07-31
1366980187 My Precious Kids Therapy Center Inc Community/Behavioral Health 4755 Summerlin Road, Suite #4, Fort Myers, FL 33919 2017-02-01
1689030207 Balance for All, Inc. Acupuncturist 6238 Presidential Ct., Ste 6, Fort Myers, FL 33919 2016-01-12
1902275217 Kelly Jean Overton Physical Therapist 6341 Whiskey Creek Drive, Fort Myers, FL 33919 2015-09-16
1508125311 Charles Clark Dugan IIi Chiropractor 6309 Corporate Court, Suite 110, Fort Myers, FL 33919 2012-05-14
1659641231 Dasha Bich Le Pharmacist 9629 Bay Harbor Cir., Apt. 201, Fort Myers, FL 33919 2012-01-12
1164792602 Gail Lee Rathbun Nurse Practitioner 6311 S. Pointe Blvd., Fort Meyers, FL 33919 2011-12-30
1871878173 Scott Kozlowski Behavioral Analyst 5335 Shalley Cir., Ft. Myers, FL 33919 2011-10-18
1396074464 Phyllis Ann Wolford Nurse Practitioner 6311 S. Pointe Blvd, Fort Myers, FL 33919 2009-12-18
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Taxonomy Information

Taxonomy Code 261QR0405X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Substance Use Disorder

Taxonomy Definition

Definition to come...

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1548882319 Melrose Institute, LLC Clinic/Center 450 W Hillsboro Bvd, Deerfield Bch, FL 33441 2020-05-14
1265054761 Holistix Treatment Centers, LLC Clinic/Center 5311 Lake Worth Rd, Greenacres, FL 33463-3353 2020-05-07
1558908517 Caring Hands Wellness Center, Inc Clinic/Center 3601 W Commercial Blvd Ste 22, Fort Lauderdale, FL 33309-3320 2019-12-09
1750937041 The Process Treatment Center, LLC Clinic/Center 521 Northlake Blvd Ste 1, North Palm Beach, FL 33408-5418 2019-08-13
1083275804 Jayson Williams Center Inc. Clinic/Center 5499 N Federal Hwy Ste Gandl2, Boca Raton, FL 33487-4993 2019-06-24
1053970053 Alternatives for You, LLC Clinic/Center 8895 N Military Trl Ste 101e, West Palm Beach, FL 33410-6262 2019-06-12
1700443520 American Detox and Wellness Center Clinic/Center 12150 Cortez Blvd, Brooksville, FL 34613-5575 2019-05-28
1982268058 M.a.t. of The Palm Beaches LLC Clinic/Center 321 Northlake Blvd Ste 116, North Palm Beach, FL 33408-5410 2019-04-24
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Competitor

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City FT MYERS
Zip Code 33919

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Dataset Information

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.

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