Healthcare Provider Details

I. General information

NPI: 1699510925
Provider Name (Legal Business Name): LEE HEALTH SYSTEM INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/27/2024
Last Update Date: 02/25/2025
Certification Date: 02/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8350 HOSPITAL DR STE 120
BONITA SPRINGS FL
34135
US

IV. Provider business mailing address

8350 HOSPITAL DR STE 120
BONITA SPRINGS FL
34135
US

V. Phone/Fax

Practice location:
  • Phone: 239-343-7277
  • Fax: 239-343-5829
Mailing address:
  • Phone: 239-343-7277
  • Fax: 239-343-5829

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: BENJAMIN SPENCE
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 239-343-6014