Organization
PEDIATRIC CENTERS OF LEE COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARLOS L MORALES (OFFICE MANAGER)
(239) 278-9983
Entity
Organization
Contact information
Practice address
222 PLAZA DR, LEHIGH ACRES, FL 33936-6018
(239) 368-5437
(239) 369-0880
Mailing address
222 PLAZA DR, LEHIGH ACRES, FL 33936-6018
(239) 368-5437
(239) 369-0880
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
255363501
—
FL
Enumeration date
02/13/2007
Last updated
08/04/2015
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