| Re3 Stem Cell And Healing Institute Pllc | |
|
3534 Fruitville Rd Sarasota FL 34237-9026 | |
| (941) 893-2688 | |
| (941) 893-2690 |
| Full Name | Re3 Stem Cell And Healing Institute Pllc |
|---|---|
| Speciality | Neurological Surgery |
| Location | 3534 Fruitville Rd, Sarasota, Florida |
| Authorized Official Name and Position | Huan Wang (MANAGER) |
| Authorized Official Contact | 9418932688 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Re3 Stem Cell And Healing Institute Pllc 3532 Fruitville Rd Sarasota FL 34237-9026 Ph: (941) 893-2688 | Re3 Stem Cell And Healing Institute Pllc 3534 Fruitville Rd Sarasota FL 34237-9026 Ph: (941) 893-2688 |
| NPI Number | 1407397540 |
|---|---|
| Provider Enumeration Date | 03/08/2017 |
| Last Update Date | 05/20/2025 |
| Certification Date | 05/20/2025 |
| Medicare PECOS PAC ID | 2163795832 |
|---|---|
| Medicare Enrollment ID | O20170830003288 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407397540 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084A2900X | Psychiatry & Neurology - Neurocritical Care | (* (Not Available)) | Secondary |
| 207T00000X | Neurological Surgery | (* (Not Available)) | Primary |
| Provider Name | Bonnie Wang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881982502 PECOS PAC ID: 3476825399 Enrollment ID: I20170828000403 |
| Provider Name | Huan Wang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790908168 PECOS PAC ID: 9133213309 Enrollment ID: I20170830003331 |
| Provider Name | Alison Ho |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1245628510 PECOS PAC ID: 9032598289 Enrollment ID: I20231011001033 |
| Provider Name | Nicole Novotny Woods |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891532065 PECOS PAC ID: 4981143260 Enrollment ID: I20240830000671 |
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