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General NPI Number Information
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NPI Number | 1295112985
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Entity Type | Organization
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Legal Business Name | LEE FAMILY WELLNESS CENTER, INC.
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Dates
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Enumeration Date | 05/01/2015
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Last Update Date | 06/20/2018
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Provider Practice Location Address
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Address Line | 530 SE 16TH PL SUITE B
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City | CAPE CORAL
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State | FL
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Zip | 33990-1656
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Country | US
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Telephone | 239-400-4856
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Fax | 239-791-5526
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Provider Business Mailing Address
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Address Line | PO BOX 152491
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City | CAPE CORAL
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State | FL
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Zip | 33915-2491
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Country | US
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Telephone | 239-400-4856
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Fax | 239-791-5526
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. LUIS APONTE
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Credential | M.D.
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Telephone | 239-400-4856
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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