Healthcare Provider Details

I. General information

NPI: 1386300119
Provider Name (Legal Business Name): LEE HEALTHCARE INVESTMENTS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2021
Last Update Date: 05/22/2025
Certification Date: 05/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12631 WHITEHALL DR
FORT MYERS FL
33907-3626
US

IV. Provider business mailing address

PO BOX 2147
FORT MYERS FL
33902-2147
US

V. Phone/Fax

Practice location:
  • Phone: 239-343-9000
  • Fax: 239-343-9001
Mailing address:
  • Phone: 239-424-1503
  • Fax: 239-343-4145

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DAVID RYBICKI
Title or Position: ADMINISTRATOR
Credential:
Phone: 239-329-8407