Organization
THE MEDICAL CENTRE OF LEHIGH ACRES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RALPH S RYBACK M.D (PRESIDENT)
(239) 303-2700
Entity
Organization
Contact information
Practice address
1303 HOMESTEAD RD N STE 102, LEHIGH ACRES, FL 33936-6049
(239) 303-2700
(239) 303-2756
Mailing address
1303 HOMESTEAD RD N STE 102, LEHIGH ACRES, FL 33936-6049
(239) 303-2700
(239) 303-2756
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
ME 92563
FL
261QP2300X
Primary Care Clinic/Center
Primary
1508179490
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1508179490
NPI
FL
01
—
HCC8330
AHCA EXEMPTION
FL
Enumeration date
07/20/2010
Last updated
11/24/2020
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