Prime Medical Health and Wellness LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PRIME MEDICAL HEALTH AND WELLNESS LLC

Practice address

27499 Riverview Center Blvd Ste 213
Bonita Springs, FL 34134-4334

Phone

(239) 345-8001

Fax

(239) 345-8003

NPI assigned

Aug 15, 2019

Last updated

Mar 23, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jimmy Liu, MDNPI 1699092627

Title

Owner

Phone

(724) 759-9819

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 5

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.

• Jimmy Cheng-Yi Liu, MD

  • Internal Medicine Physician
  • Bonita Springs, FL
  • NPI 1699092627
  Medicare reassignment Care Compare group Authorized official
• Jenna Marie Heller, ARNP

  • Nurse Practitioner
  • Bonita Springs, FL
  • NPI 1457935231
  Medicare reassignment Care Compare group
• Adrian Martinez Rubio, APRN

  • Family Nurse Practitioner
  • Tampa, FL
  • NPI 1366154270
  Medicare reassignment Care Compare group
• Karen J Olivero, PA-C

  • Medical Physician Assistant
  • Wesley Chapel, FL
  • NPI 1245415892
  Medicare reassignment
• Nicole Outten, MD

  • Student in an Organized Health Care Education/Training Program
  • Fort Myers, FL
  • NPI 1568619476
  Medicare reassignment

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

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774224000000",
    "number": "1790331759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24301 WALDEN CENTER DR STE 300",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341344965",
            "telephone_number": "239-345-8001",
            "fax_number": "239-345-8003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27499 RIVERVIEW CENTER BLVD STE 213",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341344334",
            "telephone_number": "239-345-8001",
            "fax_number": "239-345-8003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME MEDICAL HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-15",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-759-9819",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Bonita Springs, FL
• Providers in Bonita Springs, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.