Organization Active NPI

Lee County Physical Medicine LLC

  • Internal Medicine Physician
  • Fort Myers, FL
National Provider Identifier
1659716975
Registry record updated May 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME100125 Issued in FL
Legal business name
LEE COUNTY PHYSICAL MEDICINE LLC
Practice address
6150 Diamond Centre CT
Suite 1003
Fort Myers, FL 33912-4368
Phone
(239) 245-7909
Fax
(239) 245-7981
NPI assigned
Apr 30, 2013
Last updated
May 7, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2014

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

Authorized official

Name
Michael A Lampe
Title
Owner
Phone
(239) 245-7909

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X ME100125 FL
Chiropractor 111N00000X NU
Internal Medicine Physician 207R00000X ME100125 FL Primary

Addresses

Primary practice location

6150 Diamond Centre CT
Suite 1003
Fort Myers, FL 33912-4368

Mailing address

6150 Diamond Centre CT
Suite 1003
Fort Myers, FL 33912-4368
Phone (239) 245-7909

National Provider Directory

National Provider Directory

Locations

6150 Diamond Centre Ct
Unit 1003
Fort Myers, FL 33912
Phone (239) 245-7909

NPI Registry JSON

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

{
    "created_epoch": "1367280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399420800000",
    "number": "1659716975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6150 DIAMOND CENTRE CT",
            "address_2": "SUITE 1003",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124368",
            "telephone_number": "239-245-7909",
            "fax_number": "239-245-7981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6150 DIAMOND CENTRE CT",
            "address_2": "SUITE 1003",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124368",
            "telephone_number": "239-245-7909",
            "fax_number": "239-245-7981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE COUNTY PHYSICAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-30",
        "last_updated": "2014-05-07",
        "status": "A",
        "authorized_official_last_name": "LAMPE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-245-7909"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "ME100125",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME100125",
            "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 May 7, 2014; 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.