Organization Active NPI

International Health Awareness Center Inc

  • Family Medicine Physician
  • Fort Myers, FL
National Provider Identifier
1376142901
Registry record updated Oct 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
INTERNATIONAL HEALTH AWARENESS CENTER INC
Practice address
1921 Grove Ave
Fort Myers, FL 33901-7924
Phone
(239) 209-4120
Fax
(239) 204-4327
NPI assigned
Oct 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2020

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

Authorized official

Name
Mr. Jonatant Laurent
Title
Ceo President
Phone
(239) 209-4120

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health EducatorGroup: 193400000X SINGLE SPECIALTY GROUP 174H00000X
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1921 Grove Ave
Fort Myers, FL 33901-7924

Mailing address

1921 Grove Ave
Fort Myers, FL 33901-7924
Phone (239) 209-4120

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL None Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1603497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603497600000",
    "number": "1376142901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 GROVE AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339017924",
            "telephone_number": "239-209-4120",
            "fax_number": "239-204-4327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 GROVE AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339017924",
            "telephone_number": "239-209-4120",
            "fax_number": "239-204-4327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNATIONAL HEALTH AWARENESS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-24",
        "last_updated": "2020-10-24",
        "certification_date": "2020-10-24",
        "status": "A",
        "authorized_official_last_name": "LAURENT",
        "authorized_official_first_name": "JONATANT",
        "authorized_official_title_or_position": "CEO PRESIDENT",
        "authorized_official_telephone_number": "239-209-4120",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "None",
            "affiliation": "N",
            "endpointDescription": "Paper Based medical records system",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1921 Grove Ave",
            "city": "Fort Myers",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339017924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2020; 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.