Lee Cancer Clinic PLLC

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

ME 75079 Issued in FL

Legal business name

LEE CANCER CLINIC PLLC

Practice address

12781 World Plaza LN
Unit 1
Fort Myers, FL 33907-4078

Phone

(239) 278-1911

Fax

(239) 278-4511

NPI assigned

Sep 26, 2007

Organization subpart

No

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

Authorized official

Name

Bhanuprasad Koneru, M.D.

Title

Managing Director

Phone

(239) 278-1911

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228176000000",
    "number": "1740477595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12781 WORLD PLAZA LN STE 1",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339074078",
            "telephone_number": "239-278-1911",
            "fax_number": "239-278-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12781 WORLD PLAZA LN",
            "address_2": "UNIT 1",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339074078",
            "telephone_number": "239-278-1911",
            "fax_number": "239-278-4511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE CANCER CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2008-12-02",
        "status": "A",
        "authorized_official_last_name": "KONERU",
        "authorized_official_first_name": "BHANUPRASAD",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "239-278-1911",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "ME 75079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP SENDER",
            "identifier": "K6032",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katarzyna Leavitt, MD
• Ronald Leavitt, MD
• Heidi Lynn Lecius, P.T.
• Nadia Ledea Vazquez
• Pamela Margaret Ledward, PAC
• Lee Care Medical Transport
• Lee Care Medical Transport
• Lee Community Help Corp
• Lee County Coalition for a Drug-Free Southwest Florida
• Lee County Medical Center, Inc

• Hematology & Oncology Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Hematology & Oncology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.