Healthcare Provider Details

I. General information

NPI: 1710093521
Provider Name (Legal Business Name): LEE MEMORIAL HEALTH SYSTEM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2006
Last Update Date: 09/11/2024
Certification Date: 09/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2776 CLEVELAND AVE
FORT MYERS FL
33901-5864
US

IV. Provider business mailing address

PO BOX 150107
CAPE CORAL FL
33915-0107
US

V. Phone/Fax

Practice location:
  • Phone: 239-424-1503
  • Fax:
Mailing address:
  • Phone: 239-424-1503
  • Fax: 239-424-1599

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273Y00000X
TaxonomyRehabilitation Hospital Unit
License Number
License Number State

VIII. Authorized Official

Name: BENJAMIN SPENCE
Title or Position: CHEIF FINANCIAL OFFICER
Credential:
Phone: 239-343-6012