Organization Active NPI

International Wellness and Regenerative Health Clinic Inc

  • Family Medicine Physician
  • Orlando, FL
National Provider Identifier
1700459880
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
INTERNATIONAL WELLNESS AND REGENERATIVE HEALTH CLINIC INC
Practice address
121 S Orange Ave Ste 1500
Orlando, FL 32801-3241
Phone
(321) 297-8465
NPI assigned
Jul 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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

Authorized official

Name
Dr. Eddie Murgasen, MD
Title
Director
Phone
(727) 735-4027

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

121 S Orange Ave Ste 1500
Orlando, FL 32801-3241

Mailing address

121 S Orange Ave Ste 1500
Orlando, FL 32801-3241
Phone (321) 297-8465

National Provider Directory

National Provider Directory

Locations

1701 Park Center Dr
Ste 200A
Orlando, FL 32835
Phone (407) 412-6700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626652800000",
    "number": "1700459880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 S ORANGE AVE STE 1500",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328013241",
            "telephone_number": "321-297-8465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 S ORANGE AVE STE 1500",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328013241",
            "telephone_number": "321-297-8465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNATIONAL WELLNESS AND REGENERATIVE HEALTH CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-19",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A",
        "authorized_official_last_name": "MURGASEN",
        "authorized_official_first_name": "EDDIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "727-735-4027",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; 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.