10D0896498 CLIA NUMBER - LEE COUNTY EMERGENCY MEDICAL SERVICE

Laboratory Demographics

CLIA Number: 10D0896498

Facility Name: LEE COUNTY EMERGENCY MEDICAL SERVICE

Facility Address:
14752 SIX MILE CYPRESS PARKWAY
FORT MYERS, FL
ZIP 33912
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Facility Phone Number: 239 335-1604

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1659716975

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name	Field Value
CLIA Number	10D0896498
LAB Type	Other
Facility Name	LEE COUNTY EMERGENCY MEDICAL SERVICE
Street	14752 SIX MILE CYPRESS PARKWAY
City	FORT MYERS
State	FL
ZIP	33912
Phone	239 335-1604
CertificateType	4
CertificateEffectiveDate	1/11/2023
CertificateExpirationDate	1/10/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024