INTEGRATIVE MEDICINE CENTER


Address: 9371 Cypress Lake Dr Ste 13, Fort Myers, FL 33919-4995
Phone: 2392743413

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

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

Other Data Sources

Entity Type Entity Name Entity Address
Virginia Business Entities INTEGRATIVE MEDICINE CENTER P.L.L.C. 1318 Jamestown Road Ste 102, Williamsburg, Virginia 23185

Office Location

Street Address 9371 CYPRESS LAKE DR STE 13
City FORT MYERS
State FL
Zip Code 33919-4995

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 146D00000X
Grouping Emergency Medical Service Providers
Classification Personal Emergency Response Attendant

Taxonomy Definition

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.

Providers in the same taxonomy and state

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
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Competitor

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City FORT MYERS
Zip Code 33919

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Dataset Information

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.

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