SW Florida Wellness Corp

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

ND5698 Issued in FL

Legal business name

SW FLORIDA WELLNESS CORP

Practice address

27499 Riverview Center Blvd
Suite 115
Bonita Springs, FL 34134-4313

Phone

(239) 216-6556

NPI assigned

Jan 11, 2014

Organization subpart

No

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

Authorized official

Name

Michele Licausi-Silano, MA, MS, RD, LDM, RYT

Title

President

Phone

(201) 693-2224

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michele Roselle Li Causi, APRN, FNP-C

  • Family Nurse Practitioner
  • Pembroke Pines, FL
  • NPI 1710600663

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1389398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389398400000",
    "number": "1053733956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 TOPANGA DR",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341348545",
            "telephone_number": "239-216-6556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27499 RIVERVIEW CENTER BLVD",
            "address_2": "SUITE 115",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341344313",
            "telephone_number": "239-216-6556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SW FLORIDA WELLNESS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-11",
        "last_updated": "2014-01-11",
        "status": "A",
        "authorized_official_last_name": "LICAUSI-SILANO",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-693-2224",
        "authorized_official_credential": "MA, MS, RD, LDM, RYT"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND5698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunshine State Counseling Center, LLC
• Sunshine State Podiatry LLC
• Sunshine TCM Corp.
• Sonal Sura, MD
• Surgcenter of Pine Ridge LLC
• SW Floridacare, Inc
• Angela Swan, LMT
• Alessandra Sylvia
• Sypert Institute PA
• Alexander William Szecsodi, D.C.

• Registered Dietitian in Bonita Springs, FL
• Providers in Bonita Springs, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2014; 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.