Organization Active NPI

Elite Healthcare and Wellness Group, Inc

  • Family Medicine Physician
  • Naples, FL
National Provider Identifier
1871946236
Registry record updated Jul 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS13806 Issued in FL
Legal business name
ELITE HEALTHCARE AND WELLNESS GROUP, INC
Doing business as
Synergy Elite Medical
Practice address
2400 Vanderbilt Beach Rd
Suite 106
Naples, FL 34109-2771
Phone
(239) 631-6529
Fax
(239) 631-6720
NPI assigned
Jul 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2016

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

Authorized official

Name
Dr. JT Dewitt Jr., D.O.
Title
President
Phone
(239) 631-6529

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X OS13806 FL Primary

Addresses

Primary practice location

2400 Vanderbilt Beach Rd
Suite 106
Naples, FL 34109-2771

Mailing address

2430 Vanderbilt Beach Rd
Suite 108-345
Naples, FL 34109-2654
Phone (239) 631-6529

Other names 1

  • Synergy Elite Medical Doing business as

National Provider Directory

National Provider Directory

Locations

2400 Vanderbilt Beach Rd
Ste 106
Naples, FL 34109
Phone (239) 631-6529

2430 Vanderbilt Beach Rd
Ste 108345
Naples, FL 34109

NPI Registry JSON

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468972800000",
    "number": "1871946236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2430 VANDERBILT BEACH RD",
            "address_2": "SUITE 108-345",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341092654",
            "telephone_number": "239-631-6529",
            "fax_number": "239-631-6720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 VANDERBILT BEACH RD",
            "address_2": "SUITE 106",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341092771",
            "telephone_number": "239-631-6529",
            "fax_number": "239-631-6720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE HEALTHCARE AND WELLNESS GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-20",
        "last_updated": "2016-07-20",
        "status": "A",
        "authorized_official_last_name": "DEWITT",
        "authorized_official_first_name": "JT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-631-6529",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS13806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Synergy Elite Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; 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.