Harbor Wellness Center

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

HARBOR WELLNESS CENTER

Practice address

2915 Colonial Blvd Ste 200
Fort Myers, FL 33966-1009

Phone

(239) 931-3565

Fax

(855) 861-3305

NPI assigned

Oct 11, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Igor Kats

Title

Owner

Phone

(239) 931-3565

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1539216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663545600000",
    "number": "1215402607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4575 VIA ROYALE # 201-203",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339191043",
            "telephone_number": "239-931-3565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2915 COLONIAL BLVD STE 200",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339661009",
            "telephone_number": "239-931-3565",
            "fax_number": "855-861-3305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-11",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A",
        "authorized_official_last_name": "KATS",
        "authorized_official_first_name": "IGOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-931-3565",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Multi-Specialty Clinic/Center in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Multi-Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.