RENAISSANCE WELLNESS, LLC (NPI# 1922248830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922248830 |
| Entity Type | Organization |
| Organization Name | RENAISSANCE WELLNESS, LLC |
| Practice Address |
3880 Colonial Blvd Suite 2 Fort Myers FL 33966-1062 |
| Practice Telephone | 2395903883 |
| Practice Fax Number | 2395903884 |
| Mailing Telephone | 2395903883 |
| Mailing Fax Number | 2395903884 |
| Enumeration Date | 2009-03-05 |
| Last Update Date | 2013-07-31 |
| Authorized Official Name | DR. KONSTANTINE K YANKOPOLUS (PRESIDENT) |
| Authorized Official Telephone | 2395903883 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
ME22595 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
3880 COLONIAL BLVD SUITE 2 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33966-1062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447201660 | Sievert Clinic, LLC | Family Medicine | 3880 Colonial Blvd, Suite 1a, Fort Myers, FL 33966-1062 | 2006-05-12 |
| 1104259035 | Physicians Medical Group of Southwest Florida,llc | Family Medicine | 3880 Colonial Blvd, Suite 1a, Fort Myers, FL 33966-1062 | 2013-08-14 |
| 1811261563 | T.r. Diagnostics, LLC | Physiological Laboratory | 3880 Colonial Blvd, Suite 1b, Fort Myers, FL 33966-1062 | 2012-02-28 |
| 1861660649 | Konstantine Konstantine Yankopolus | Family Medicine | 3880 Colonial Blvd, Suite 2, Fort Myers, FL 33966-1062 | 2008-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962989566 | Samarah A Al-jamali | Dentist | 9330 Ben Pratt/6 Mi Cypress #4, Fort Myers, FL 33966 | 2018-07-26 |
| 1932646171 | Jose M Butron | Behavioral Analyst | 6430 Plantation Park Ct Ste 200, Fort Myers, FL 33966 | 2017-01-26 |
| 1003276833 | Katia Jasmin Robinson Lucero | Social Worker | 3820 Colonial Blvd Suite #102, Fort Myers, FL 33966 | 2016-03-07 |
| 1578947610 | Christian Milanes | Dentist | 9330 Ben C. Pratt Six Mile Cypress Pkwy, Fort Myers, FL 33966 | 2015-07-18 |
| 1003166273 | Reetane Singh | Dentist | 9330 Ben C Pratt Six Mile, Cypress Parkway, Fort Myers, FL 33966 | 2012-09-14 |
| 1518216159 | Lee Mental Health Center | Community Based Residential Treatment Facility, Mental Illness | 10140 Deer Run Farms Road, Fort Myers, FL 33966 | 2012-08-29 |
| 1033482724 | Planned Parenthood of Southwest and Central Florida Inc. | Obstetrics & Gynecology | 6418 Commerce Park Drive, Fort Myers, FL 33966 | 2012-02-11 |
| 1013292291 | J Kru Therapy LLC Dba Focus | Physical Therapist | 4997 Royal Gulf Cir, Fort Myers, FL 33966 | 2011-10-19 |
| 1528354651 | American In-home Care, LLC | Home Health | 3800 Colonial Blvd Unit 102, Fort Myers, FL 33966 | 2011-06-27 |
| 1811219256 | Vera Marie Rosado-odom | Internal Medicine | 13340 Metro Pkwy Ste 310, Fort Myers, FL 33966 | 2010-02-26 |
| Find all providers in zip 33966 | ||||
| Taxonomy Code | 208VP0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Pain Medicine |
| Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient’s pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies. |
| Notes: Source: American Academy of Pain Medicine, www.painmed.org - Additional Resources:The American Board of Pain Medicine provides Board Certification. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558345819 | Alexander Nash | Pain Medicine | 3822 Broadway, Fort Myers, FL 33901-8148 | 2005-12-01 |
| 1215924154 | Jonathan S Daitch | Pain Medicine | 8255 College Pkwy, Ste 100, Fort Myers, FL 33919-5119 | 2005-10-05 |
| 1104472414 | Spine Center of Fl LLC | Pain Medicine | 7964 Summerlin Lakes Dr, Fort Myers, FL 33907-1816 | 2019-08-13 |
| 1659826881 | All Care Family Health LLC | Pain Medicine | 40 Barkley Cir, Suite 3, Fort Myers, FL 33907-4518 | 2016-08-17 |
| 1396189858 | George Ibrahim Soliman | Pain Medicine | 12670 Creekside Ln Ste 202, Fort Myers, FL 33919 | 2013-04-26 |
| 1003182866 | A New Life Pain Management Inc | Pain Medicine | 40 Barkley Cir, Suite 3, Fort Myers, FL 33907-4518 | 2012-03-27 |
| 1376852871 | Miami Lakes Medical Solutions, Inc | Pain Medicine | 3822 Broadway, Suites A and C, Fort Myers, FL 33901-8148 | 2010-09-30 |
| 1134378938 | Pain Relief and Physical Rehab Inc | Pain Medicine | 4977 Royal Gulf Cir, Fort Myers, FL 33966-7006 | 2008-09-17 |
| 1699947465 | Rehabilitation Consultants Pa | Pain Medicine | 13685 Doctors Way, Ste 190, Fort Myers, FL 33912-4336 | 2008-04-01 |
| 1275723520 | Fred A Liebowitz Md Pa | Pain Medicine | 6150 Diamond Centre Ct, 700-1, Fort Myers, FL 33912-4365 | 2007-08-01 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33966 |
Please comment or provide details below to improve the information on RENAISSANCE WELLNESS, LLC.
| 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.