LEE MEMORIAL (NPI# 1902103583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902103583 |
| Entity Type | Organization |
| Organization Name | LEE MEMORIAL |
| Practice Address |
13681 Doctors Way Ste 16043 Fort Myers FL 33912-4300 |
| Practice Telephone | 2393430787 |
| Practice Fax Number | 2393430487 |
| Mailing Telephone | 2393430787 |
| Mailing Fax Number | 2393430487 |
| Enumeration Date | 2011-02-17 |
| Last Update Date | 2011-04-12 |
| Authorized Official Name | DR. MARILYN KOLE (ICU DIRECTOR) |
| Authorized Official Telephone | 2393430787 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
PA9104597 | FL | Hospitals |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | LEE MEMORIAL GARDENS INC. | 1986 Hickory Flats Road, Pennington Gap, Virginia 24277 |
| System for Award Management (SAM) Entities | LEE MEMORIAL HEALTH SYSTEM | 2776 Cleveland Ave, Fort Myers, FL 33901-5864 |
| System for Award Management (SAM) Entities | LEE MEMORIAL HEALTH SYSTEM FOUNDATION | 16451 Healthpark Commons Dr # 2, Fort Myers, FL 33908-9501 |
| System for Award Management (SAM) Entities | LEE MEMORIAL HEALTH SYSTEM FOUNDATION, INC. | 2776 Cleveland Ave, Fort Myers, FL 33901-5864 |
| System for Award Management (SAM) Entities | LEE MEMORIAL HOSPITAL | 2776 Cleveland Ave, Fort Myers, FL 33901-5864 |
| New York State Corporations | LEE MEMORIALS, INC. | 225 Main Street, South Glens Falls, New York 12803 |
| Street Address |
13681 DOCTORS WAY STE 16043 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33912-4300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134684814 | Performance Health Surgery Center | Clinic/Center | 9500 Gulf Research Lane, Fort Myers, FL 33912 | 2019-02-06 |
| 1609351899 | Voa Lee County Health Care Facility, Inc. | Skilled Nursing Facility | 14750 Hope Center Loop, Ft. Myers, FL 33912 | 2018-10-03 |
| 1245719954 | Lauren Grimes | Pharmacist | 13711 S Tamiami Trail, Fort Myers, FL 33912 | 2018-08-13 |
| 1972080828 | Solaris Rehab, LLC | Clinic/Center | 14001 Metro Parkway, Fort Myers, FL 33912 | 2018-07-24 |
| 1467943803 | Marie Veronica Scott | Nurse Practitioner | 14015 Danpak Loop, Fort Myers, FL 33912 | 2018-05-22 |
| 1952892291 | Daniels Modern Dentistry, Pa | Dentist | 6871 Daniels Parkway, Suite 100, Fort Myers, FL 33912 | 2018-05-22 |
| 1295258994 | Julie Ann Jakobi | Counselor | 18 Quanery Court, Fort Myers, FL 33912 | 2017-07-25 |
| 1205359908 | Maria Reyes | Developmental Therapist | 8961 Daniels Center Drive Suite 401, Fort Myers, FL 33912 | 2017-07-25 |
| 1669919288 | Darinka Ruiz | Social Worker | 961 Daniels Center Drive, Suite 401, Fort Myers, FL 33912 | 2017-01-20 |
| 1730622598 | Valerie Starnes | Nurse Practitioner | 13411 Parker Commons Blvd Ste 101, Fort Myers, FL 33912 | 2016-11-28 |
| Find all providers in zip 33912 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952850828 | Tanya Kischa Bethel-hall | General Acute Care Hospital | 3094 Nw 72nd Ave, Margate, FL 33063-7878 | 2016-10-03 |
| 1033663752 | Uf Health | General Acute Care Hospital | 3529 Nw 42nd Ter, Gainesville, FL 32606-8131 | 2016-08-10 |
| 1477871069 | Jackson Memorial Hospital | General Acute Care Hospital | 4304 E Whitewater Ave, Weston, FL 33332-2409 | 2010-05-07 |
| 1194953828 | Mount Sinai Medical Center | General Acute Care Hospital | 14700 Ne 9th Ave, Miami, FL 33161-2316 | 2009-07-01 |
| 1518157551 | Malcom Randall Va Medical Center | General Acute Care Hospital | 1601 S.w Archer Road, Gainesville, FL 32608-1135 | 2007-07-26 |
| 1720288921 | Joanne Lynn Brousseau | General Acute Care Hospital | 221 6th Ave S Apt E, Jacksonville, FL 32250-6664 | 2007-07-25 |
| 1306046131 | Jackson Hospital | General Acute Care Hospital | 10730 Sw 30th Pl, Davie, FL 33328-1536 | 2007-07-19 |
| 1649480146 | St Mary Surgical Inc | General Acute Care Hospital | 5343 59th Circle West, Kenneth City, FL 33709 | 2007-05-23 |
| 1477618387 | Department of Va, Miami Va Health Care | General Acute Care Hospital | 12530 Ne 1st, Miami, FL 33161 | 2006-12-22 |
| 1477641587 | Jackson Memorial | General Acute Care Hospital | 1401 Bay Rd, 510, Miami Beach, FL 33139-3715 | 2006-10-11 |
| Find all providers with the same taxonomy | ||||
| City | FORT MYERS |
| Zip Code | 33912 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.