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Organization
LEE COUNTY INTERNAL MEDICINE ASSOCIATES PA
Active
Organization
LEE COUNTY INTERNAL MEDICINE ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURA KURAS (PRACTICE MANAGER)
(239) 573-1606
Entity
Organization
Contact information
Practice address
126 DEL PRADO BLVD N, SUITE104, CAPE CORAL, FL 33909-2702
(239) 573-1606
(239) 573-2606
Mailing address
126 DEL PRADO BLVD N, SUITE104, CAPE CORAL, FL 33909-2702
(239) 573-1606
(239) 573-2606
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME56832
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34280
BLUE SHIELD
FL
Enumeration date
12/05/2006
Last updated
09/11/2008
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