Organization
LEE COUNTY MEDICAL GROUP CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SERGIO LUIS SALOME (CEO)
(239) 747-1000
Entity
Organization
Contact information
Practice address
742 FULLER AVE S, LEHIGH ACRES, FL 33974-7576
(239) 274-1000
Mailing address
742 FULLER AVE S, LEHIGH ACRES, FL 33974-7576
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/27/2015
Last updated
01/27/2015
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