Organization
I3M WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISSAC B MYERS LMT (CEO)
(850) 270-7055
Entity
Organization
Contact information
Practice address
428 EDGE AVE, VALPARAISO, FL 32580-1090
(850) 300-8700
Mailing address
216 TRISH DR, CRESTVIEW, FL 32536-6454
(931) 802-9137
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
171400000X
Health & Wellness Coach
—
—
2255A2300X
Athletic Trainer
—
—
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
10/31/2024
Last updated
07/20/2025
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