Organization
LEE MEMORIAL HEALTH SYSTEM
Active
Other names
LCH- Labelle Internal Medicine Office
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH NIEBERGALL (CREDENTIALING SPECIALIST)
(239) 424-1446
Entity
Organization
Contact information
Practice address
930 S MAIN ST STE C, LABELLE, FL 33935-4448
(863) 674-5520
(863) 674-5521
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(863) 674-5520
(863) 674-5521
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
10/19/2023
Last updated
02/22/2024
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