Organization
LEE MEMORIAL HEALTH SYSTEM
Active
Other names
Lee Health Home Infusion
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL KOLEFF (DIRECTOR HOME INFUSION)
(239) 343-9799
Entity
Organization
Contact information
Practice address
11220 METRO PKWY STE 31, FORT MYERS, FL 33966-1291
(239) 343-9799
(239) 275-6931
Mailing address
11220 METRO PKWY STE 31, FORT MYERS, FL 33966-1291
(239) 343-9799
(239) 275-6931
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
PH25005
FL
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2133840
PK
—
Enumeration date
11/01/2010
Last updated
03/13/2024
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