Organization
PLATINUM WELLNESS LLC
Active
Other names
Platinum Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTINE SWANNICK-KONOPCZYNSKI MD (PRACTICE OWNER)
(239) 254-0099
Entity
Organization
Contact information
Practice address
1213 PIPER BLVD, NAPLES, FL 34110-1393
(239) 254-0099
(239) 254-1908
Mailing address
1213 PIPER BLVD, NAPLES, FL 34110-1393
(239) 254-0099
(239) 254-1908
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275067800
—
FL
Enumeration date
04/05/2022
Last updated
04/06/2022
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