Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Renaissance Wellness, LLC

Organization Pain Medicine Physician · NPI 1922248830

Renaissance Wellness, LLC is a Pain Medicine Physician in Fort Myers, Florida. Licensed in Florida. Registered with an NPI since 2009.

Licensed in
FL
In the registry since
2009
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3880 Colonial Blvd Ste 2
Fort Myers, FL 33966-1062
Phone: (239) 590-3883
Fax: (239) 590-3884
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine Physician (primary) Taxonomy 208VP0000X · Licence ME22595 (FL)

Record details

NPI number1922248830
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Konstantine Yankopolus — President · (239) 590-3883
NPI enumeratedMarch 5, 2009
Last updated in NPPESJuly 31, 2013
Mailing address3880 Colonial Blvd, Suite 2, Fort Myers, FL 33966-1062

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