Organization
INTERNATIONAL CENTER FOR HEALTH & WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN W GRUNING DO (PRESIDENT)
(239) 939-3303
Entity
Organization
Contact information
Practice address
3677 CENTRAL AVE, SUITE E, FORT MYERS, FL 33901-8226
(239) 939-3303
(239) 939-7373
Mailing address
PO BOX 7146, FORT MYERS, FL 33911-7146
(239) 939-3303
(239) 939-7373
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
OS5181
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1497746804
NPI MARY L HARDEN
FL
01
—
1932190519
NPI ALAN W GRUNING DO
FL
Enumeration date
02/25/2008
Last updated
03/04/2008
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