Organization
PRIME HEALTHCARE SERVICES-LEHIGH ACRES LLC
Active
Other names
Lehigh Regional Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER DOAN (LEGAL COUNSEL)
(310) 259-4706
Entity
Organization
Contact information
Practice address
1500 LEE BLVD, LEHIGH ACRES, FL 33936-4835
(239) 369-2101
Mailing address
1500 LEE BLVD, LEHIGH ACRES, FL 33936-4835
(239) 369-2101
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010111700
—
FL
Enumeration date
02/08/2019
Last updated
02/08/2019
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