Healthcare Provider Details

I. General information

NPI: 1477663839
Provider Name (Legal Business Name): COUNTY OF LEE-OFFICE OF COUNTY COMM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 11/21/2024
Certification Date: 11/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 MAIN ST STE 100
FORT MYERS FL
33901-5502
US

IV. Provider business mailing address

PO BOX 198252
ATLANTA GA
30384-8252
US

V. Phone/Fax

Practice location:
  • Phone: 239-533-3911
  • Fax: 239-485-2626
Mailing address:
  • Phone: 239-533-3911
  • Fax: 239-485-2626

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number3389
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code3416A0800X
TaxonomyAir Ambulance
License Number3389
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: BENJAMIN ABES
Title or Position: DIRECTOR OF PUBLIC SAFETY
Credential:
Phone: 239-533-3963