Organization
LEE MEMORIAL HEALTH SYSTEM
Active
Other names
Lee Pharmacy #1, Lee Memorial Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN SPENCE (CHEIF FINANCIAL OFFICER)
(239) 343-6012
Entity
Organization
Contact information
Practice address
2776 CLEVELAND AVE, FT MYERS, FL 33901-5864
(239) 424-1503
(239) 424-1599
Mailing address
PO BOX 150107, CAPE CORAL, FL 33915-0107
(239) 424-1503
(239) 424-1599
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
FL
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010110900
—
FL
01
—
523
BLUE CROSS PROVIDER NUMB
FL
Enumeration date
06/09/2006
Last updated
10/18/2018
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