Organization Active NPI

Physicians Weight Loss of Florida

Doing business as Premier Wellness Florida

  • Medical Physician Assistant
  • Cape Coral, FL
National Provider Identifier
1053190611
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Legal business name
PHYSICIANS WEIGHT LOSS OF FLORIDA
Doing business as
Premier Wellness Florida
Practice address
3515 Del Prado Blvd S Ste 107
Cape Coral, FL 33904-7289
Phone
(239) 695-8446
NPI assigned
Sep 25, 2023
Last updated
Sep 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Authorized official

Name
Natalie V Alanez, PA-CNPI 1811649676
Title
Physician's Assistant
Phone
(239) 695-8446

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

3515 Del Prado Blvd S Ste 107
Cape Coral, FL 33904-7289

Mailing address

3515 Del Prado Blvd S
Suite 107, FL 33914
Phone (239) 695-8446

Other names 1

  • Premier Wellness Florida Doing business as

National Provider Directory

National Provider Directory

Locations

3515 Del Prado Blvd S
Ste 107
Cape Coral, FL 33904

3515 Del Prado Blvd S
Ste 107
Cape Coral, FL 33904
Phone (239) 695-8446

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695600000000",
    "number": "1053190611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 DEL PRADO BLVD S",
            "city": "SUITE 107",
            "state": "FL",
            "postal_code": "33914",
            "telephone_number": "239-695-8446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 DEL PRADO BLVD S STE 107",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339047289",
            "telephone_number": "239-695-8446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS WEIGHT LOSS OF FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-23",
        "status": "A",
        "authorized_official_last_name": "ALANEZ",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PHYSICIAN'S ASSISTANT",
        "authorized_official_telephone_number": "239-695-8446",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Wellness Florida",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.