INTEGRATIVE MEDICINE CENTER (NPI# 1548384100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548384100 |
Entity Type | Organization |
Organization Name | INTEGRATIVE MEDICINE CENTER |
Practice Address |
9371 Cypress Lake Dr Ste 13 Fort Myers FL 33919-4995 |
Mailing Address |
9371 Cypress Lake Dr Fort Myers FL 33919-4939 |
Practice Telephone | 2392743413 |
Practice Fax Number | 2394158661 |
Mailing Telephone | 2392743413 |
Mailing Fax Number | 2394158661 |
Enumeration Date | 2007-03-19 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. LIDIA OKONSKI (PHYSICIAN) |
Authorized Official Telephone | 2392743413 |
Authorized Official Credential | M.D |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 146D00000X | Personal Emergency Response Attendant | ME 36300 | FL | Emergency Medical Service Providers |
X | 171100000X | Acupuncturist | 001033 AP | FL | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | MEDICAL LICENSE | ME 36300 | 01 |
D 79863 | PIN | 01 | |
BLUE CROSS | CO 434 | 01 | |
ACUPUNCTUE LICENSE | 001033 AP | 01 | |
BLUE CROSS | 11490 | 01 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Virginia Business Entities | INTEGRATIVE MEDICINE CENTER P.L.L.C. | 1318 Jamestown Road Ste 102, Williamsburg, Virginia 23185 |
Street Address |
9371 CYPRESS LAKE DR STE 13 |
City | FORT MYERS |
State | FL |
Zip Code | 33919-4995 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073145942 | Patricia June Briand | Registered Nurse | 4309 Mariner Way #307, Fort Myers, FL 33919 | 2020-02-10 |
1629556840 | The Onyx Counseling Center, LLC | Social Worker | 6361 Presidential Ct Ste 101, Fort Myers, FL 33919 | 2018-07-31 |
1366980187 | My Precious Kids Therapy Center Inc | Community/Behavioral Health | 4755 Summerlin Road, Suite #4, Fort Myers, FL 33919 | 2017-02-01 |
1811342397 | Kimberly Regenesis | Substance Abuse Rehabilitation Facility | 8695 College Parkway, Suite 2080, Ft Myers, FL 33919 | 2016-05-03 |
1689030207 | Balance for All, Inc. | Acupuncturist | 6238 Presidential Ct., Ste 6, Fort Myers, FL 33919 | 2016-01-12 |
1902275217 | Kelly Jean Overton | Physical Therapist | 6341 Whiskey Creek Drive, Fort Myers, FL 33919 | 2015-09-16 |
1508125311 | Charles Clark Dugan IIi | Chiropractor | 6309 Corporate Court, Suite 110, Fort Myers, FL 33919 | 2012-05-14 |
1659641231 | Dasha Bich Le | Pharmacist | 9629 Bay Harbor Cir., Apt. 201, Fort Myers, FL 33919 | 2012-01-12 |
1164792602 | Gail Lee Rathbun | Nurse Practitioner | 6311 S. Pointe Blvd., Fort Meyers, FL 33919 | 2011-12-30 |
1871878173 | Scott Kozlowski | Behavioral Analyst | 5335 Shalley Cir., Ft. Myers, FL 33919 | 2011-10-18 |
Find all providers in zip 33919 |
Taxonomy Code | 146D00000X |
Grouping | Emergency Medical Service Providers |
Classification | Personal Emergency Response Attendant |
Individuals that are specially trained to assist patients living at home with urgent/emergent situations. These individuals must be able to perform CPR and basic first aid and have sufficient counseling skills to allay fears and assist in working through processes necessary to resolve the crisis. Functions may include transportation to various facilities and businesses, contacting agencies to initiate remediation service or providing reassurance. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083023717 | Lp Medical Services LLC | Personal Emergency Response Attendant | 404 S Childs St, Leesburg, FL 34748-5958 | 2014-08-06 |
1801122395 | Godwin Stanley Okoye | Personal Emergency Response Attendant | 10224 E Adamo Dr, Tampa, FL 33619-2663 | 2009-10-19 |
1659532729 | Stephen Lewis Shiner | Personal Emergency Response Attendant | 5454 Nw 87th Ter, Coral Springs, FL 33067-2857 | 2008-06-21 |
1902099104 | My Home Doctor, LLC | Personal Emergency Response Attendant | 1221 Brickell Ave, Suite 900, Miami, FL 33131-3224 | 2007-08-21 |
1720122179 | Jae Woun Joo | Personal Emergency Response Attendant | 1203 Parrilla De Avila, Tampa, FL 33613-1082 | 2007-02-19 |
1487794467 | Eric Allen Gillard | Personal Emergency Response Attendant | 7501 Ulmerton Rd, Apt 2412, Largo, FL 33771-4510 | 2007-02-07 |
1275672834 | Leonardo Rodriguez | Personal Emergency Response Attendant | 4726 W Flagler St, Coral Gables, FL 33134-1452 | 2007-02-06 |
1255447728 | James William Graybill IIi | Personal Emergency Response Attendant | 3202 Alternate 19, Palm Harbor, FL 34683 | 2006-08-21 |
1790898690 | Nancy J Vance | Personal Emergency Response Attendant | 1500 5th Ave S, Suite 104, Naples, FL 34102-3492 | 2006-08-16 |
1700827904 | Susan Marlow | Personal Emergency Response Attendant | 5358 Grand Banks Blvd, Greenacres, FL 33463-5951 | 2006-06-09 |
Find all providers with the same taxonomy |
City | FORT MYERS |
Zip Code | 33919 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.