Organization
LEE MEMORIAL HEALTH SYSTEM
Active
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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