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Organization
LEE COUNTY PHYSICAL MEDICINE LLC
Active
Organization
LEE COUNTY PHYSICAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL A LAMPE (OWNER)
(239) 245-7909
Entity
Organization
Contact information
Practice address
6150 DIAMOND CENTRE CT, SUITE 1003, FORT MYERS, FL 33912-4368
(239) 245-7909
(239) 245-7981
Mailing address
6150 DIAMOND CENTRE CT, SUITE 1003, FORT MYERS, FL 33912-4368
(239) 245-7909
(239) 245-7981
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
207R00000X
Internal Medicine Physician
Primary
ME100125
FL
332B00000X
Durable Medical Equipment & Medical Supplies
ME100125
FL
Other
Enumeration date
04/30/2013
Last updated
05/07/2014
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