Organization Active NPI

MW Wellness I, LLC

  • Internal Medicine Physician
  • Sarasota, FL
National Provider Identifier
1982118899
Registry record updated Nov 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MW WELLNESS I, LLC
Practice address
4930 Fruitville Rd
Sarasota, FL 34232-2206
Phone
(813) 228-6334
NPI assigned
Nov 30, 2017
Organization subpart
Yes
Parent organization
SARASOTAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 30, 2017

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

Authorized official

Name
Wendie Nonclerc
Title
Director of Insurance
Phone
(813) 228-6334

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

4930 Fruitville Rd
Sarasota, FL 34232-2206

Mailing address

4930 Fruitville Rd
Sarasota, FL 34232-2206
Phone (813) 228-6334

Other names 1

  • Sarasota Other name

National Provider Directory

National Provider Directory
Tax ID family
MW Wellness I LLC2 organizations share this tax ID, including this one
Part of
MW Wellness I LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4930 Fruitville Rd
Sarasota, FL 34232
Phone (941) 356-1113

NPI Registry JSON

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

{
    "created_epoch": "1512000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512000000000",
    "number": "1982118899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4930 FRUITVILLE RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342322206",
            "telephone_number": "813-228-6334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4930 FRUITVILLE RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342322206",
            "telephone_number": "813-228-6334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MW WELLNESS I, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SARASOTA",
        "enumeration_date": "2017-11-30",
        "last_updated": "2017-11-30",
        "status": "A",
        "authorized_official_last_name": "NONCLERC",
        "authorized_official_first_name": "WENDIE",
        "authorized_official_title_or_position": "DIRECTOR OF INSURANCE",
        "authorized_official_telephone_number": "813-228-6334"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sarasota",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2017; 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.