Organization · Type 2 NPI

Lee Memorial Health System

Federally Qualified Health Center (FQHC) · Cape Coral, FL

NPI number 1669010369 Active

Practice location

650 Del Prado Blvd S Ste 107
Cape Coral, FL 33990-5629

Call (239) 343-9888 Map

Fax (239) 424-4091

Mailing address

PO Box 2147
Fort Myers, FL 33902-2147

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

3 other providers at this address

Antonietta Cecilia Josefina Padron Ayala, MDPediatrics Physician Cape Coral, FL NPI 1528753282
Kimberley A. Ghuman, MDPediatrics Physician Cape Coral, FL NPI 1306833280
Sarina Cinco Lumapas, MDObstetrics & Gynecology Physician Cape Coral, FL NPI 1346400306

Other federally qualified health center (fqhc) providers in Cape Coral

See all in Cape Coral →

NPI record

NPI: 1669010369
Entity type: Organization (Type 2)
Issued: Dec 13, 2019
Last updated: Dec 13, 2019
Status: Active

Other names

<unavail>
Lch-Peds Cape Coral · doing business as
Lch-Peds Cape Coral · doing business as

Authorized official

Joseph Niebergall
Credentialing Specialist
(239) 424-1446

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1669010369

Lee Memorial Health System's National Provider Identifier is 1669010369, issued on Dec 13, 2019. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Cape Coral, FL. The record was last updated on Dec 13, 2019.