Organization
LEE HEALTH SYSTEM INC
Active
Other names
Immokalee Pediatrics Rehabilitation Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
VIVIAN M RODRIGUEZ (CREDENTIALING SPECIALIST)
(239) 424-1452
Entity
Organization
Contact information
Practice address
429 N 1ST ST, IMMOKALEE, FL 34142-3150
(239) 254-4263
(239) 468-7954
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 254-4280
(239) 468-7954
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/07/2025
Last updated
09/11/2025
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