Provider Demographics
NPI:1144837907
Name:TRUE HEALTH MEDICAL AND WELLNESS CENTER
Entity type:Organization
Organization Name:TRUE HEALTH MEDICAL AND WELLNESS CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLEMAGNE
Authorized Official - Middle Name:
Authorized Official - Last Name:MARIUS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-467-4816
Mailing Address - Street 1:3761 20TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34117-9186
Mailing Address - Country:US
Mailing Address - Phone:305-467-4816
Mailing Address - Fax:
Practice Address - Street 1:5262 GOLDEN GATE PKWY STE 2
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34116-7635
Practice Address - Country:US
Practice Address - Phone:239-529-2507
Practice Address - Fax:239-529-2509
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-25
Last Update Date:2021-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care