Active NPI
Lee Memorial Health System
- Skilled Nursing Facility
- Fort Myers, FL
National Provider Identifier
1114409141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- LEE MEMORIAL HEALTH SYSTEM
- Practice address
- 13960 Plantation Rd
Fort Myers, FL 33912-4303 - Phone
- (239) 343-1503
- NPI assigned
- Sep 6, 2018
- Organization subpart
- Yes
- Parent organization
- LEE MEMORIAL HEALTH SYSTEM
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Benjamin Spence, DO
- Title
- Cheif Financial Officer
- Phone
- (239) 343-6014
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
13960 Plantation Rd
Fort Myers, FL 33912-4303
Mailing address
16131 Roserush CT
Fort Myers, FL 33908-3634
Phone (239) 343-7344
Other names 1
- Gulf Coast Skilled Nursing Unit
National Provider Directory
National Provider Directory- Part of
- Emergency Phys of Lee M
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536192000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1536192000000",
"number": "1114409141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16131 ROSERUSH CT",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339083634",
"telephone_number": "239-343-7344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13960 PLANTATION RD",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339124303",
"telephone_number": "239-343-1503"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEE MEMORIAL HEALTH SYSTEM",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LEE MEMORIAL HEALTH SYSTEM",
"enumeration_date": "2018-09-06",
"last_updated": "2018-09-06",
"status": "A",
"authorized_official_last_name": "SPENCE",
"authorized_official_first_name": "BENJAMIN",
"authorized_official_title_or_position": "CHEIF FINANCIAL OFFICER",
"authorized_official_telephone_number": "239-343-6014",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Gulf Coast Skilled Nursing Unit",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Gulf Coast Skilled Nursing Unit",
"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 Sep 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.