Healthcare Provider Details
I. General information
NPI: 1992540421
Provider Name (Legal Business Name): LEE HEALTH SYSTEM INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/26/2024
Last Update Date: 03/14/2025
Certification Date: 03/14/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3361 PINE RIDGE RD STE 105A
NAPLES FL
34109-3937
US
IV. Provider business mailing address
PO BOX 2147
FORT MYERS FL
33902-2147
US
V. Phone/Fax
- Phone: 239-254-4260
- Fax: 239-254-4261
- Phone: 239-424-1446
- Fax: 239-424-1423
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BENJAMIN
SPENCE
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 239-343-6014