Healthcare Provider Details

I. General information

NPI: 1467384636
Provider Name (Legal Business Name): MILESTONE THERAPY & WELLNESS CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 PONDELLA RD STE A
NORTH FORT MYERS FL
33903-3846
US

IV. Provider business mailing address

150 PONDELLA RD STE A
NORTH FORT MYERS FL
33903-3846
US

V. Phone/Fax

Practice location:
  • Phone: 239-789-0041
  • Fax:
Mailing address:
  • Phone: 239-789-0041
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ARIANNA DANTA
Title or Position: OWNER
Credential:
Phone: 239-789-0041