| Lee Memorial Health System | |
|
22655 Bayshore Rd Ste 110 Port Charlotte FL 33980-2005 | |
| (412) 354-9009 | |
| (941) 235-4901 |
| Full Name | Lee Memorial Health System |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 22655 Bayshore Rd Ste 110, Port Charlotte, Florida |
| Authorized Official Name and Position | Vivian M Rodriguez (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 2394241452 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lee Memorial Health System Po Box 2147 Fort Myers FL 33902-2147 Ph: (941) 235-4900 | Lee Memorial Health System 22655 Bayshore Rd Ste 110 Port Charlotte FL 33980-2005 Ph: (412) 354-9009 |
| NPI Number | 1205678240 |
|---|---|
| Provider Enumeration Date | 06/11/2024 |
| Last Update Date | 06/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205678240 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Express Care Medical Cinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3161 Harbor Blvd, Suite A, Port Charlotte, FL 33952 Phone: 941-629-1218 Fax: 941-625-9465 | |
Carlton R. Vollberg M D P A Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2852 Tamiami Trl Ste 6, Port Charlotte, FL 33952 Phone: 941-743-4445 Fax: 941-743-4287 | |
B Adhinarayanan Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2400 Harbor Blvd, Suite 16, Port Charlotte, FL 33952 Phone: 941-613-1223 Fax: 941-613-1224 | |
Coastal Cardiololgy & Vascular Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1620 Tamiami Trl, Suite 300, Port Charlotte, FL 33948 Phone: 941-625-6187 Fax: 941-625-7887 | |
Pamela Papola Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3410 Tamiami Trl, 1, Port Charlotte, FL 33952 Phone: 941-255-3722 Fax: 941-255-3723 | |
Infectious Diseases Consultants, P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 21205 Olean Blvd Ste A, Port Charlotte, FL 33952 Phone: 941-613-2800 Fax: 941-613-2801 | |
Millennium Physician Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2315 Aaron St, Port Charlotte, FL 33952 Phone: 941-613-2222 Fax: 941-627-9950 |