Organization
LEE MEMORIAL HEALTH SYSTEM
Active
Other names
LEE HEALTH UROLOGY SURGERY CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH NIEBERGALL (CREDENTIALING SPECIALIST)
(239) 424-1446
Entity
Organization
Contact information
Practice address
12631 WHITEHALL DR, FORT MYERS, FL 33907-3626
(239) 343-9000
(239) 343-9001
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 424-1449
(239) 424-1423
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
07/03/2019
Last updated
08/13/2019
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