Organization
LEE MEMORIAL HEALTH SYSTEM
Active
Other names
Child Hospital Care Ctr
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY BRIDGE-LILES (ADMINISTRATOR)
(239) 985-3580
Entity
Organization
Contact information
Practice address
9800 S HEALTHPARK DR, SUITE 205, FORT MYERS, FL 33908-7603
(239) 985-3580
(239) 985-3589
Mailing address
9800 S HEALTHPARK DR, SUITE 205, FORT MYERS, FL 33908-7603
(239) 985-3580
(239) 985-3589
Taxonomy
Speciality
Code
Description
License number
State
261QM3000X
Medically Fragile Infants and Children Day Care
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
883750301
—
FL
Enumeration date
06/21/2007
Last updated
06/19/2008
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