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General NPI Number Information
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NPI Number | 1134222532
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Entity Type | Organization
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Legal Business Name | LEE MEMORIAL HEALTH SYSTEM
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Dates
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Enumeration Date | 09/07/2006
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Last Update Date | 06/21/2018
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Provider Practice Location Address
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Address Line | 2780 CLEVELAND AVE SUITE 705
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City | FORT MYERS
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State | FL
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Zip | 33901-5858
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Country | US
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Telephone | 239-334-5244
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Fax |
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Provider Business Mailing Address
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Address Line | P.O. BOX 2147
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City | FORT MYERS
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State | FL
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Zip | 33902-2147
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Country | US
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Telephone | 239-424-1400
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Fax | 239-424-1421
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MR. JOHN K. WEIST
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Credential |
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Telephone | 239-772-6542
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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