Active NPI
Lee Accident Care Clinic, LLC
- Internal Medicine Physician
- Cape Coral, FL
National Provider Identifier
1073026647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- CH11936
- Legal business name
- LEE ACCIDENT CARE CLINIC, LLC
- Practice address
- 1611 Santa Barbara Blvd Ste 120
Cape Coral, FL 33991-3479 - Phone
- (239) 288-2908
- Fax
- (239) 288-2908
- NPI assigned
- Nov 6, 2017
- Last updated
- Nov 6, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. James M Bolger, DC
- Title
- Owner
- Phone
- (239) 908-0899
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | CH11936 | FL | Primary |
Addresses
Primary practice location
1611 Santa Barbara Blvd Ste 120
Cape Coral, FL 33991-3479
Mailing address
PO Box 151850
Cape Coral, FL 33915-1850
Phone (239) 908-0899
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
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- NPI 1720525082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509926400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1509926400000",
"number": "1073026647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 151850",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339151850",
"telephone_number": "239-908-0899",
"fax_number": "239-791-5526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1611 SANTA BARBARA BLVD STE 120",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339913479",
"telephone_number": "239-288-2908",
"fax_number": "239-288-2908"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEE ACCIDENT CARE CLINIC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-11-06",
"last_updated": "2017-11-06",
"status": "A",
"authorized_official_last_name": "BOLGER",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "239-908-0899",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "CH11936",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cape Coral, FL
- Leap With ABA L.L.C
- Alessia Leathers
- Leavitt Medical Associates of Florida Inc (Advanced Dermatology and Cosmetic Surgery)
- Andrea E Lebleu, RPH
- Laura Lecocq, MS, OTR/L
- Lee Community Home Healthcare Inc
- Lee County Care Center LLC
- Lee County Care Services Inc (Home Helpers Home Care)
- Lee County Catering Inc
- Lee County Internal Medicine Associates PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.