# BIOWELL MEDICAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013604727
- **Authorized official:** MARVIN DEGON IV (OWNER)
- **Authorized official phone:** (781) 708-2222

## Contact information

- **Practice address:** 1175 CREEKSIDE PKWY STE 300, NAPLES, FL 34108-2068
- **Practice address phone:** (844) 276-9700
- **Mailing address:** 1175 CREEKSIDE PKWY STE 300, NAPLES, FL 34108-2068
- **Mailing address phone:** (844) 276-9700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/21/2023
- **Last updated:** 04/21/2023