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NPI Code Detail

MEDICARE: THE MEDICAL CENTRE OF LEHIGH ACRES INC

MEDICARE: THE MEDICAL CENTRE OF LEHIGH ACRES 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
1261Q00000XClinic/CenterME 92563FL
2261QP2300XPrimary Care Clinic/Center1508179490FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1HCC8330OTHERFLAHCA EXEMPTION
21508179490OTHERFLNPI

General Provider Information

NPI Number : 1508179490
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE MEDICAL CENTRE OF LEHIGH ACRES INC
Provider Business Mailing Address
First Line : 1303 HOMESTEAD RD N STE 102
Second Line :
City : LEHIGH ACRES
State : FL
Zip : 33936-6049
Country : US
Telephone Number : 239-303-2700
Fax Number : 239-303-2756
Provider Business Practice Location Address
First Line : 1303 HOMESTEAD RD N STE 102
Second Line :
City : LEHIGH ACRES
State : FL
Zip : 33936-6049
Country : US
Telephone Number : 239-303-2700
Fax Number : 239-303-2756
Authorized Official
Title or Position : PRESIDENT
Name : RALPH S RYBACK
Credential : M.D
Telephone Number : 239-303-2700
Provider Enumeration Date : 07/20/2010
Last Update Date : 11/24/2020

Similar Medicare Providers

1588518963 — JHARLYN YASSEL HERNANDEZ ROJAS P.A.
Practice Location Address:
1303 HOMESTEAD RD N STE 102
LEHIGH ACRES, FL
33936-6049
Practice Phone: 236-517-6232
Practice Fax: 239-517-6232
1831146141 — RALPH S RYBACK MD LP
Practice Location Address:
1303 HOMESTEAD RD N , #102
LEHIGH ACRES, FL
33936-6049
Practice Phone: 239-303-2700
Practice Fax: 239-303-2756
1285647651 — SHIRLEY SLOAN LCSW
Practice Location Address:
25 HOMESTEAD RD , #55
LEHIGH ACRES, FL
33936-6049
Practice Phone: 239-281-8903
Practice Fax: 239-657-2308
1427383934 — LEHIGH CHIROPRACTIC ASSOCIATES CORP
Practice Location Address:
1303 HOMESTEAD RD N STE 102
LEHIGH ACRES, FL
33936-6049
Practice Phone: 239-303-1139
Practice Fax: 239-303-1839
1376857904 — ADOLFO ROMERO MARTINEZ ARNP
Practice Location Address:
1303 HOMESTEAD RD N STE 102
LEHIGH ACRES, FL
33936-6049
Practice Phone: 239-303-2700
Practice Fax: 239-303-2756
1619282274 — WESTFIELD WELLNESS CENTER INC
Practice Location Address:
1303 HOMESTEAD RD N STE 102
LEHIGH ACRES, FL
33936-6049
Practice Phone: 239-303-1139
Practice Fax: 239-303-1839

Directions to “THE MEDICAL CENTRE OF LEHIGH ACRES INC ” Practice Location

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