Organization Active NPI

International Center for Health & Wellness LLC

  • General Practice Physician
  • Fort Myers, FL
National Provider Identifier
1437328341
Registry record updated Mar 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
OS5181 Issued in FL
Legal business name
INTERNATIONAL CENTER FOR HEALTH & WELLNESS LLC
Practice address
3677 Central Ave
Suite E
Fort Myers, FL 33901-8226
Phone
(239) 939-3303
Fax
(239) 939-7373
NPI assigned
Feb 25, 2008
Last updated
Mar 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2008

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

Authorized official

Name
Dr. Alan W Gruning, DONPI 1932190519
Title
President
Phone
(239) 939-3303

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X OS5181 FL Primary

Addresses

Primary practice location

3677 Central Ave
Suite E
Fort Myers, FL 33901-8226

Mailing address

PO Box 7146
Fort Myers, FL 33911-7146
Phone (239) 939-3303

Other identifiers 2

IdentifierTypeStateIssuer
1932190519OtherFLNPI ALAN W GRUNING DO
1497746804OtherFLNPI MARY L HARDEN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204588800000",
    "number": "1437328341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7146",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339117146",
            "telephone_number": "239-939-3303",
            "fax_number": "239-939-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3677 CENTRAL AVE",
            "address_2": "SUITE E",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339018226",
            "telephone_number": "239-939-3303",
            "fax_number": "239-939-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNATIONAL CENTER FOR HEALTH & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2008-03-04",
        "status": "A",
        "authorized_official_last_name": "GRUNING",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-939-3303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "OS5181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI ALAN W GRUNING DO",
            "identifier": "1932190519",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI MARY L HARDEN",
            "identifier": "1497746804",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "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 Mar 4, 2008; 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.