Healthcare Provider Details

I. General information

NPI: 1861314973
Provider Name (Legal Business Name): PURE JOY METABOLIC & WELLNESS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10176 MIMOSA SILK DR
FORT MYERS FL
33913-8817
US

IV. Provider business mailing address

10176 MIMOSA SILK DR
FORT MYERS FL
33913-8817
US

V. Phone/Fax

Practice location:
  • Phone: 954-663-1426
  • Fax:
Mailing address:
  • Phone: 954-663-1426
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ANGELA JOY SHERMAN
Title or Position: AUTONOMOUS NURSE PRACTITIONER
Credential: DNP, APRN
Phone: 954-663-1426