Organization
LEE KIDNEY CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GANESH SHENOY MD (OWNER)
(239) 303-2820
Entity
Organization
Contact information
Practice address
14181 S TAMIAMI TRL STE 120A, FORT MYERS, FL 33912-1985
(239) 303-2820
(239) 303-2511
Mailing address
14181 S TAMIAMI TRL STE 120A, FORT MYERS, FL 33912-1985
(239) 303-2820
(239) 303-2511
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
ME84882
FL
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
07/02/2006
Last updated
11/02/2021
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