MEDICARE: LEE MICHAEL CHAPON

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	367500000X	Certified Registered Nurse Anesthetist	11033563	FL

General Provider Information

NPI Number	:	1881386829
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEE MICHAEL CHAPON

Provider Business Mailing Address
First Line	:	14208 PINE LODGE LN
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33913-9474
Country	:	US
Telephone Number	:	321-508-6150
Fax Number	:

Provider Business Practice Location Address
First Line	:	14208 PINE LODGE LN
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33913-9474
Country	:	US
Telephone Number	:	321-508-6150
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/25/2023
Last Update Date	:	06/25/2024

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