Organization
LEE MEMORIAL HEALTH SYSTEM
Active
Other names
Lee Memorial Senior Behavior Unit
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE GERMAN (CHEIF FINANCIAL OFFICER)
(239) 242-6202
Entity
Organization
Contact information
Practice address
2776 CLEVELAND AVE, FORT MYERS, FL 33901-5864
(239) 242-6012
(239) 242-6088
Mailing address
PO BOX 150107, CAPE CORAL, FL 33915-0107
(239) 242-6012
(239) 242-6088
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
10-S012
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010110900
—
FL
Enumeration date
10/20/2009
Last updated
01/25/2010
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