NPIMap

Organization Active NPI

Lee Health System Inc

Doing business as Adolescent & Young Adult Medicine

  • General Practice Physician
  • Fort Myers, FL
National Provider Identifier
1053255463
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
LEE HEALTH SYSTEM INC
Doing business as
Adolescent & Young Adult Medicine
Peds Infectious Disease Gladiolus
Practice address
9671 Gladiolus Dr Ste 109
Fort Myers, FL 33908-7684
Phone
(239) 343-6788
Fax
(239) 343-4180
NPI assigned
Apr 16, 2026
Last updated
May 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Benjamin Spence
Title
Ceo
Phone
(239) 343-6014

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

9671 Gladiolus Dr Ste 109
Fort Myers, FL 33908-7684

Mailing address

PO Box 2147
Fort Myers, FL 33902-2147
Phone (239) 343-6788

Other names 2

  • Adolescent & Young Adult Medicine Doing business as
  • Peds Infectious Disease Gladiolus Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2209185GCH of SWF Adolescent and Young Adult Medicine9671 Gladiolus Dr - Ste 109, Fort Myers, FL 33908Certificate of waiverJan 11, 2027

National Provider Directory

National Provider Directory
Tax ID family
Lee Health System Inc86 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 19

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 19

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1776297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778025600000",
    "number": "1053255463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2147",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339022147",
            "telephone_number": "239-343-6788",
            "fax_number": "239-343-4180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9671 GLADIOLUS DR STE 109",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339087684",
            "telephone_number": "239-343-6788",
            "fax_number": "239-343-4180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE HEALTH SYSTEM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-16",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A",
        "authorized_official_last_name": "SPENCE",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "239-343-6014"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adolescent & Young Adult Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Peds Infectious Disease Gladiolus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.