Organization Active NPI

Integrative Medicine Center

  • Personal Emergency Response Attendant
  • Fort Myers, FL
National Provider Identifier
1548384100
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Emergency Response AttendantTaxonomy code 146D00000X
License
ME 36300 Issued in FL
Legal business name
INTEGRATIVE MEDICINE CENTER
Practice address
9371 Cypress Lake Dr Ste 13
Fort Myers, FL 33919-4995
Phone
(239) 274-3413
Fax
(239) 415-8661
NPI assigned
Mar 19, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Lidia Okonski, M.D
Title
Physician
Phone
(239) 274-3413

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Emergency Response Attendant 146D00000X ME 36300 FL Primary
Acupuncturist 171100000X 001033 AP FL

Addresses

Primary practice location

9371 Cypress Lake Dr Ste 13
Fort Myers, FL 33919-4995

Mailing address

9371 Cypress Lake Dr
Fort Myers, FL 33919-4939
Phone (239) 274-3413

Other identifiers 5

IdentifierTypeStateIssuer
CO 434OtherBLUE CROSS
ME 36300OtherFLMEDICAL LICENSE
PINOtherD 79863
001033 APOtherACUPUNCTUE LICENSE
11490OtherBLUE CROSS

National Provider Directory

National Provider Directory

Locations

9371 Cypress Lake Dr
Fort Myers, FL 33919
Phone (238) 481-7322

9371 Cypress Lake Dr
Ste 13
Fort Myers, FL 33919
Phone (239) 274-3413

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1548384100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9371 CYPRESS LAKE DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339194939",
            "telephone_number": "239-274-3413",
            "fax_number": "239-415-8661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9371 CYPRESS LAKE DR STE 13",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339194995",
            "telephone_number": "239-274-3413",
            "fax_number": "239-415-8661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE MEDICINE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "OKONSKI",
        "authorized_official_first_name": "LIDIA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "239-274-3413",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "146D00000X",
            "taxonomy_group": "",
            "desc": "Personal Emergency Response Attendant",
            "state": "FL",
            "license": "ME 36300",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "001033 AP",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "CO 434",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME 36300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "D 79863",
            "identifier": "PIN",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTUE LICENSE",
            "identifier": "001033 AP",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "11490",
            "state": null
        }
    ],
    "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 Sep 11, 2025; 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.