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Organization

LEE WELLNESS AND REHAB LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MALEK KHALIL (CEO)
(239) 440-1344
Entity
Organization

Contact information

Practice address
4048 EVANS AVE STE 210, FORT MYERS, FL 33901-9385
(239) 440-1344
(561) 392-3793
Mailing address
4048 EVANS AVE STE 210, FORT MYERS, FL 33901-9385
(239) 440-1344
(561) 392-3793

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
L16000084567
STATE REGISTRATION NUMBER
FL
Enumeration date
10/31/2016
Last updated
10/31/2016
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