Healthcare Provider Details

I. General information

NPI: 1255294773
Provider Name (Legal Business Name): CLEARPATH HEALTH & WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/03/2025
Last Update Date: 12/03/2025
Certification Date: 11/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4730 HARBOUR TER
NORTH FORT MYERS FL
33903
US

IV. Provider business mailing address

4730 HARBOUR TER
NORTH FORT MYERS FL
33903
US

V. Phone/Fax

Practice location:
  • Phone: 239-321-2030
  • Fax:
Mailing address:
  • Phone: 239-321-2030
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MR. RENE JOSELIN
Title or Position: MANAGING MEMBER
Credential:
Phone: 239-321-2030