NPIMap

Organization Active NPI

Lee County Internal Medicine Associates PA

  • Internal Medicine Physician
  • Cape Coral, FL
National Provider Identifier
1487712246
Registry record updated Sep 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME56832 Issued in FL
Legal business name
LEE COUNTY INTERNAL MEDICINE ASSOCIATES PA
Practice address
126 Del Prado Blvd N
Suite104
Cape Coral, FL 33909-2702
Phone
(239) 573-1606
Fax
(239) 573-2606
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2008

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

Authorized official

Name
Ms. Laura Kuras
Title
Practice Manager
Phone
(239) 573-1606

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME56832 FL Primary

Addresses

Primary practice location

126 Del Prado Blvd N
Suite104
Cape Coral, FL 33909-2702

Mailing address

126 Del Prado Blvd N
Suite104
Cape Coral, FL 33909-2702
Phone (239) 573-1606

Other identifiers 1

IdentifierTypeStateIssuer
34280OtherFLBLUE SHIELD

National Provider Directory

National Provider Directory

Locations

13691 Metro Pkwy
Ste 330
Fort Myers, FL 33912
Phone (239) 310-5307

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221091200000",
    "number": "1487712246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 DEL PRADO BLVD N",
            "address_2": "SUITE104",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339092702",
            "telephone_number": "239-573-1606",
            "fax_number": "239-573-2606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 DEL PRADO BLVD N",
            "address_2": "SUITE104",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339092702",
            "telephone_number": "239-573-1606",
            "fax_number": "239-573-2606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE COUNTY INTERNAL MEDICINE ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2008-09-11",
        "status": "A",
        "authorized_official_last_name": "KURAS",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "239-573-1606",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME56832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "34280",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; 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.