Biowell Medical LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

BIOWELL MEDICAL LLC

Practice address

1175 Creekside Pkwy Ste 300
Naples, FL 34108-2068

Phone

(844) 276-9700

NPI assigned

Apr 21, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Marvin Degon IV

Title

Owner

Phone

(781) 708-2222

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1682035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682035200000",
    "number": "1013604727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 CREEKSIDE PKWY STE 300",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341082068",
            "telephone_number": "844-276-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 CREEKSIDE PKWY STE 300",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341082068",
            "telephone_number": "844-276-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIOWELL MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-21",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A",
        "authorized_official_last_name": "DEGON",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-708-2222",
        "authorized_official_name_suffix": "IV"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randold Binns, D.M.D
• Bio-Medical Applications of Florida, Inc.
• Bio-Medical Applications of Florida, Inc.
• Biomotion Associates, Inc.
• Biowell Health LLC
• Mark S. Bir, PA-C
• Chelsea Birmingham, LMHC
• Vanessa Maria Birnbaum, OTR/L
• Laura E Birnie, MS, LMFT
• Randi Nicole Birr, DC

• General Practice Physician in Naples, FL
• Providers in Naples, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.