Organization
INTEGRATIVE MEDICINE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LIDIA OKONSKI M.D (PHYSICIAN)
(239) 274-3413
Entity
Organization
Contact information
Practice address
9371 CYPRESS LAKE DR STE 13, FORT MYERS, FL 33919-4995
(239) 274-3413
(239) 415-8661
Mailing address
9371 CYPRESS LAKE DR, FORT MYERS, FL 33919-4939
(239) 274-3413
(239) 415-8661
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
ME 36300
FL
171100000X
Acupuncturist
001033 AP
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001033 AP
ACUPUNCTUE LICENSE
—
01
—
11490
BLUE CROSS
—
01
—
CO 434
BLUE CROSS
—
01
—
ME 36300
MEDICAL LICENSE
FL
01
—
PIN
D 79863
—
Enumeration date
03/19/2007
Last updated
09/11/2025
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