MEDICARE: LEE HEALTH SYSTEM INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1477412385
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEE HEALTH SYSTEM INC

Provider Business Mailing Address
First Line	:	PO BOX 2147
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33902-2147
Country	:	US
Telephone Number	:	239-343-7130
Fax Number	:	239-468-7902

Provider Business Practice Location Address
First Line	:	615 WILLIAMS AVE UNIT 201
Second Line	:
City	:	LEHIGH ACRES
State	:	FL
Zip	:	33972-7954
Country	:	US
Telephone Number	:	239-343-7130
Fax Number	:	239-468-7902

Authorized Official
Title or Position	:	CFO
Name	:	BENJAMIN SPENCE
Credential	:
Telephone Number	:	239-343-6014

Provider Enumeration Date	:	01/16/2026
Last Update Date	:	01/16/2026

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