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PEDIATRIC CENTERS OF LEE CO NPI 1205989183


NPI Information

NPI: 1205989183
Provider Name: PEDIATRIC CENTERS OF LEE CO
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
4048 EVANS AVE
STE 209
FT MYERS, FL
ZIP 33901
Phone: (239) 278-9983
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PEDIATRIC CENTERS OF LEE CO is a pediatrics in Ft Myers, FL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. PEDIATRIC CENTERS OF LEE CO NPI is 1205989183. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4048 EVANS AVE
STE 209
FT MYERS, FL
ZIP 33901
Phone: (239) 278-9983
Fax: (239) 278-9985

The provider's authorized official is Carlos L Morales .
The authorized official title is Office Manager and has the following contact phone number (239) 278-9983.

The enumeration date for this NPI number is 1/22/2007 and was last updated on 8/4/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1255363500MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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