NPIMap

Organization Active NPI

Lee County Medical Institute Corp

  • Gastroenterology Physician
  • Fort Myers, FL
National Provider Identifier
1134612146
Registry record updated Jun 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
LEE COUNTY MEDICAL INSTITUTE CORP
Practice address
4531 Deleon St Unit 215
Fort Myers, FL 33907-1278
Phone
(239) 307-8933
NPI assigned
Jun 13, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2018

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

Authorized official

Name
Leidier Franceda
Title
Ceo
Phone
(239) 307-8933

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

4531 Deleon St Unit 215
Fort Myers, FL 33907-1278

Mailing address

4531 Deleon St Unit 215
Fort Myers, FL 33907-1278
Phone (239) 307-8933

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528848000000",
    "number": "1134612146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4531 DELEON ST UNIT 215",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071278",
            "telephone_number": "239-307-8933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4531 DELEON ST UNIT 215",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071278",
            "telephone_number": "239-307-8933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE COUNTY MEDICAL INSTITUTE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-13",
        "last_updated": "2018-06-13",
        "status": "A",
        "authorized_official_last_name": "FRANCEDA",
        "authorized_official_first_name": "LEIDIER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "239-307-8933"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 13, 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.

Verify at the official NPI Registry.