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

SW Florida Wellness Corp

Organization Registered Dietitian · NPI 1053733956

SW Florida Wellness Corp is a Registered Dietitian in Bonita Springs, Florida. Licensed in Florida. Registered with an NPI since 2014.

Licensed in
FL
In the registry since
2014
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

27499 Riverview Center Blvd Ste 115
Bonita Springs, FL 34134-4313
Phone: (239) 216-6556
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence ND5698 (FL)

Record details

NPI number1053733956
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michele Licausi-Silano — President · (201) 693-2224
NPI enumeratedJanuary 11, 2014
Last updated in NPPESJanuary 11, 2014
Mailing address215 Topanga Dr, Bonita Springs, FL 34134-8545

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