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BEYOND THE BODY WELLNESS LLC
NPI 1194473751
Nurse Practitioner - Primary Care in Lehigh Acres, FL

Active since March 14, 2022
1121 HOMESTEAD RD N STE 279, LEHIGH ACRES, FL 33936(765) 432-7195 Get Directions Write a Review

NPPES record last updated: March 14, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Beyond The Body Wellness Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEYOND THE BODY WELLNESS LLC (NPI 1194473751) is a healthcare organization registered as a primary care in Lehigh Acres, Florida and active in the NPI registry since March 2022. The organization maintains a secondary practice location in Lehigh Acres and lists Dedra D Coop, Np/president, as its authorized official.

NPPES Registry Identity

NPI1194473751
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameBEYOND THE BODY WELLNESS LLC
Location Address1121 HOMESTEAD RD N STE 279Lehigh Acres, FL 33936-6038
Mailing Address1121 Homestead Rd N Ste 279Lehigh Acres, FL 33936-6038 · (765) 432-7195
Phone(765) 432-7195
Organization SubpartNo
Authorized OfficialDedra D CoopNp/president · (765) 432-7195
Enumeration DateMarch 14, 2022
NPPES CertifiedFebruary 28, 2022
✔ NPI 1194473751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
1121 HOMESTEAD RD N STE 279, Lehigh Acres, FL 33936
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Secondary Practice Location 1

Location 14403 E 19th StLehigh Acres, FL 33972-1400 · Phone (765) 432-7195

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beyond The Body Wellness LLC's NPI number?

The NPI number for Beyond The Body Wellness LLC is 1194473751. It was assigned to this organization in the NPPES registry on March 14, 2022.

Where is Beyond The Body Wellness LLC located?

Beyond The Body Wellness LLC is located at 1121 Homestead Rd N Ste 279, Lehigh Acres, FL 33936. The listed phone number is (765) 432-7195.

What is Beyond The Body Wellness LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Beyond The Body Wellness LLC was last updated on March 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.