| The Medical Centre Of Lehigh Acres Inc | |
|
1303 Homestead Rd N Ste 102 Lehigh Acres FL 33936-6049 | |
| (239) 303-2700 | |
| (239) 303-2756 |
| Full Name | The Medical Centre Of Lehigh Acres Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1303 Homestead Rd N Ste 102, Lehigh Acres, Florida |
| Authorized Official Name and Position | Ralph S Ryback (PRESIDENT) |
| Authorized Official Contact | 2393032700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Medical Centre Of Lehigh Acres Inc 1303 Homestead Rd N Ste 102 Lehigh Acres FL 33936-6049 Ph: (239) 303-2700 | The Medical Centre Of Lehigh Acres Inc 1303 Homestead Rd N Ste 102 Lehigh Acres FL 33936-6049 Ph: (239) 303-2700 |
| NPI Number | 1508179490 |
|---|---|
| Provider Enumeration Date | 07/20/2010 |
| Last Update Date | 11/24/2020 |
| Medicare PECOS PAC ID | 2860626777 |
|---|---|
| Medicare Enrollment ID | O20131009000034 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508179490 | NPI | - | NPPES |
| HCC8330 | Other | FL | AHCA EXEMPTION |
| 1508179490 | Other | FL | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | ME 92563 (Florida) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | 1508179490 (Florida) | Primary |
| Provider Name | Ralph Ryback |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831146141 PECOS PAC ID: 2860439627 Enrollment ID: I20050413000345 |
| Provider Name | Andrew M Guidry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811915168 PECOS PAC ID: 1456419142 Enrollment ID: I20081024000235 |
| Provider Name | Javier E Sosa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194816041 PECOS PAC ID: 1557529088 Enrollment ID: I20121227000226 |
| Provider Name | Adolfo Romero Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376857904 PECOS PAC ID: 4486934841 Enrollment ID: I20161201001313 |
| Provider Name | Evie L Breedlove |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194132233 PECOS PAC ID: 2062639719 Enrollment ID: I20180711000721 |
| Provider Name | Nadia D Vazquez Hidalgo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912491093 PECOS PAC ID: 1153731351 Enrollment ID: I20201029000019 |
| Provider Name | Ileana Marquez Perez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114412137 PECOS PAC ID: 1052714979 Enrollment ID: I20210729000451 |
Galenus Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1530 Lee Blvd Ste 1400, Lehigh Acres, FL 33936 Phone: 239-368-7310 Fax: 239-368-7312 | |
E& M Medical Billing Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 Pauline Ave, Lehigh Acres, FL 33974 Phone: 239-738-8264 Fax: 239-236-1370 | |
Wallace Family Practice Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3400 Lee Blvd, Suite 108, Lehigh Acres, FL 33971 Phone: 239-369-2903 Fax: 239-369-0500 | |
Medexpress Urgent Care - Lehigh Acres, Homestead Rd N Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1120 Homestead Rd N, Lehigh Acres, FL 33936 Phone: 239-303-5020 Fax: 239-303-5053 | |
Best Care Community And Family Health Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2718 Lee Blvd Ste B, Lehigh Acres, FL 33971 Phone: 239-288-0840 Fax: 239-244-2195 | |
Lehigh Regional Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1500 Lee Blvd, Lehigh Acres, FL 33936 Phone: 239-369-2101 Fax: 239-368-4510 | |
Optimum Rehabilitation Specialists, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2724 5th St W Ste A, Lehigh Acres, FL 33971 Phone: 239-470-3578 |