Healthcare Provider Details

I. General information

NPI: 1750205605
Provider Name (Legal Business Name): CURAVIDA WELLNESS SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9333 DOUBLE R BLVD STE 100
RENO NV
89521-2962
US

IV. Provider business mailing address

1083 N COLLIER BLVD # 187
MARCO ISLAND FL
34145-2539
US

V. Phone/Fax

Practice location:
  • Phone: 877-287-2843
  • Fax: 866-795-0730
Mailing address:
  • Phone: 877-287-2843
  • Fax: 866-795-0730

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DENISE A PANCYRZ
Title or Position: CO-FOUNDER/WELLNESS OFFICER
Credential:
Phone: 877-287-2843