NPIMap

Organization Active NPI

Lotus Blossom Clinic

  • Acupuncturist
  • Fort Myers, FL
National Provider Identifier
1588931307
Registry record updated Dec 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP 2473 Issued in FL
Legal business name
LOTUS BLOSSOM CLINIC
Practice address
6710 Winkler Rd
Suite #2
Fort Myers, FL 33919-7274
Phone
(239) 277-1399
NPI assigned
Nov 22, 2011
Last updated
Dec 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2011

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

Authorized official

Name
Dr. David Lee Martin, LACNPI 1780863894
Title
Acupuncture Physician
Phone
(239) 277-1399

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
Acupuncturist 171100000X AP 2473 FL Primary

Addresses

Primary practice location

6710 Winkler Rd
Suite #2
Fort Myers, FL 33919-7274

Mailing address

6710 Winkler Rd
Suite #2
Fort Myers, FL 33919-7274
Phone (239) 277-1399

National Provider Directory

National Provider Directory

Locations

6710 Winkler Rd
Ste 2
Fort Myers, FL 33919
Phone (239) 277-1399

Practitioners & affiliated clinicians

Practitioners 1

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": "1321920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323820800000",
    "number": "1588931307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6710 WINKLER RD",
            "address_2": "SUITE #2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339197274",
            "telephone_number": "239-277-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6710 WINKLER RD",
            "address_2": "SUITE #2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339197274",
            "telephone_number": "239-277-1399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS BLOSSOM CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-22",
        "last_updated": "2011-12-14",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "ACUPUNCTURE PHYSICIAN",
        "authorized_official_telephone_number": "239-277-1399",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP 2473",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 14, 2011; 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.