Re3 Stem Cell and Healing Institute PLLC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

RE3 STEM CELL AND HEALING INSTITUTE PLLC

Doing business as

Center for Brain and Spine
Center for Primary Care

Practice address

3534 Fruitville Rd
Sarasota, FL 34237-9026

Phone

(941) 893-2688

Fax

(941) 893-2690

NPI assigned

Mar 8, 2017

Organization subpart

No

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

Authorized official

Name

Huan Wang, MDNPI 1790908168

Title

Manager

Phone

(941) 893-2688

Specialties & licenses 2

Addresses

Other names 2

• Center for Brain and Spine Doing business as
• Center for Primary Care Doing business as

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Enrollment records 2

Locations

Practitioners 7

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

• Huan Wang, MD

  • Neurological Surgery Physician
  • Sarasota, FL
  • NPI 1790908168
  Medicare reassignment Care Compare group NPD Authorized official
• Maria Bustamante, PA-C

  • Physician Assistant
  • Sarasota, FL
  • NPI 1609536507
  Medicare reassignment Care Compare group NPD
• Alyssa Carin Miller, APRN

  • Nurse Practitioner
  • Sebring, FL
  • NPI 1730639063
  Medicare reassignment Care Compare group NPD
• Bonnie Wang, MD

  • Internal Medicine Physician
  • Sarasota, FL
  • NPI 1881982502
  Medicare reassignment Care Compare group NPD
• Nicole Woods, FNP-BC

  • Family Nurse Practitioner
  • Sarasota, FL
  • NPI 1891532065
  Medicare reassignment Care Compare group NPD
• Jessica Sands, DNP, APRN, FNP-C

  • Family Nurse Practitioner
  • St Petersburg, FL
  • NPI 1720645062
  NPD (past)
• Clayton Wall, FNP-BC

  • Family Nurse Practitioner
  • Sarasota, FL
  • NPI 1669392239
  NPD (past)

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

{
    "created_epoch": "1488931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786665600000",
    "number": "1407397540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3532 FRUITVILLE RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342379026",
            "telephone_number": "941-893-2688",
            "fax_number": "941-893-2690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3534 FRUITVILLE RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342379026",
            "telephone_number": "941-893-2688",
            "fax_number": "941-893-2690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3530 Fruitville Rd",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342379026",
            "country_code": "US",
            "telephone_number": "941-893-2688",
            "fax_number": "941-893-2690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RE3 STEM CELL AND HEALING INSTITUTE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-08",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "HUAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "941-893-2688",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Brain and Spine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Center for Brain and Spine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Center for Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Neurological Surgery Physician in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Neurological Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.