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General NPI Number Information
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NPI Number | 1336475789
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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 | 10/20/2009
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Last Update Date | 01/25/2010
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Provider Practice Location Address
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Address Line | 2776 CLEVELAND AVE
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City | FORT MYERS
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State | FL
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Zip | 33901-5864
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Country | US
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Telephone | 239-242-6012
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Fax | 239-242-6088
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Provider Business Mailing Address
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Address Line | PO BOX 150107
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City | CAPE CORAL
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State | FL
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Zip | 33915-0107
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Country | US
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Telephone | 239-242-6012
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Fax | 239-242-6088
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Authorized Official
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Title or Position | CHEIF FINANCIAL OFFICER
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Name | MIKE GERMAN
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Credential |
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Telephone | 239-242-6202
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number | 10-S012
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License Number State | FL
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