Provider Demographics
NPI:1255219051
Name:SOUL ARI WELLNESS HEALTH CARE LLC
Entity type:Organization
Organization Name:SOUL ARI WELLNESS HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ARIAGNE
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMIREZ PENA
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:239-848-9369
Mailing Address - Street 1:3400 LEE BLVD STE 106
Mailing Address - Street 2:
Mailing Address - City:LEHIGH ACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33971-1309
Mailing Address - Country:US
Mailing Address - Phone:239-848-9369
Mailing Address - Fax:
Practice Address - Street 1:3400 LEE BLVD STE 106
Practice Address - Street 2:
Practice Address - City:LEHIGH ACRES
Practice Address - State:FL
Practice Address - Zip Code:33971-1309
Practice Address - Country:US
Practice Address - Phone:239-848-9369
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-21
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center