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Organization

LEE MEMORIAL HEALTH SYSTEM

Active
Other names
LCH- ADULT INFECTIOUS DISEASE
Organization subpart
No

Provider details

NPI number
Authorized official
JOSEPH NIEBERGALL (CREDENTIALING SPECIALIST)
(239) 424-1446
Entity
Organization

Contact information

Practice address
2780 CLEVELAND AVE STE 809, FORT MYERS, FL 33901-5817
(239) 343-9680
(239) 343-4178
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-9680
(239) 343-4178

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Enumeration date
07/27/2022
Last updated
07/27/2022
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