Organization
LEE MEMORIAL HEALTH SYSTEM
Active
Other names
LCH- Peds Page Field
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN SPENCE (CFO)
(239) 343-6014
Entity
Organization
Contact information
Practice address
4751 S CLEVELAND AVE, FORT MYERS, FL 33907-1317
(239) 343-9888
(239) 343-9968
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 424-1500
(239) 424-1423
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014789114
—
FL
Enumeration date
10/08/2019
Last updated
02/23/2024
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