Organization
MY SELF WELLNESS INS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA SEIBERT (OFFICE MANAGER)
(239) 908-9958
Entity
Organization
Contact information
Practice address
3541 BONITA BAY BLVD STE 100, BONITA SPRINGS, FL 34134-1703
(239) 908-9958
(239) 319-5729
Mailing address
3541 BONITA BAY BLVD STE 100, BONITA SPRINGS, FL 34134-1703
(239) 908-9958
(239) 319-5729
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
01/05/2026
Last updated
01/09/2026
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