NPIMap

Organization Active NPI

Pierre-Louis Provider Services LLC

Doing business as Rejuvenate Wellness Center

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1184482416
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
PIERRE-LOUIS PROVIDER SERVICES LLC
Doing business as
Rejuvenate Wellness Center
Practice address
14050 Town Loop Blvd Ste 202
Orlando, FL 32837-6190
Phone
(407) 361-0682
Fax
(407) 210-5550
NPI assigned
Mar 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Authorized official

Name
Mr. Marc Garcia Pierre-Louis Jr., APRNNPI 1457649725
Title
Ceo
Phone
(407) 361-0682

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

14050 Town Loop Blvd Ste 202
Orlando, FL 32837-6190

Mailing address

2468 Annacella Ave
Kissimmee, FL 34741-7956
Phone (407) 361-0682

Other names 1

  • REJUVENATE WELLNESS CENTER Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721865600000",
    "number": "1184482416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2468 ANNACELLA AVE",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347417956",
            "telephone_number": "407-361-0682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14050 TOWN LOOP BLVD STE 202",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328376190",
            "telephone_number": "407-361-0682",
            "fax_number": "407-210-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIERRE-LOUIS PROVIDER SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A",
        "authorized_official_last_name": "PIERRE-LOUIS",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "GARCIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-361-0682",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "REJUVENATE WELLNESS CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "REJUVENATE WELLNESS CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.