Lee County Medical Group Corp

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

LEE COUNTY MEDICAL GROUP CORP

Practice address

742 Fuller Ave S
Lehigh Acres, FL 33974-7576

Phone

(239) 274-1000

NPI assigned

Jan 27, 2015

Organization subpart

No

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

Authorized official

Name

Sergio Luis Salome

Title

Ceo

Phone

(239) 747-1000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1422316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422316800000",
    "number": "1194115204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "742 FULLER AVE S",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339747576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "742 FULLER AVE S",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339747576",
            "telephone_number": "239-274-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE COUNTY MEDICAL GROUP CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-27",
        "last_updated": "2015-01-27",
        "status": "A",
        "authorized_official_last_name": "SALOME",
        "authorized_official_first_name": "SERGIO",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "239-747-1000"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Felicity Sunn Leclerc, APRN
• Melanie Ledesma Carrasco
• Yanisley Ledesma Rotillet
• Lee Care, Inc. (Casa de la Rosa Assisted Living Facility)
• Lee County Associates in Psychiatry
• Lee Health System Inc (Vascular- Urology LehighAcres)
• Lee Health System Inc (OB/GYN Lehigh Acres)
• Lee Health System Inc (Pediatrics Behavioral Health- Lehigh)
• Lee Health System Inc
• Lee Memorial Health System (LCH-Peds Behavioral Health la)

• Specialist in Lehigh Acres, FL
• Providers in Lehigh Acres, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2015; 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.