Organization Active NPI

Lehigh Medical and Research Center, Inc

  • General Practice Physician
  • Lehigh Acres, FL
National Provider Identifier
1801387113
Registry record updated May 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
LEHIGH MEDICAL AND RESEARCH CENTER, INC
Practice address
5624 8TH St W Ste 112
Lehigh Acres, FL 33971-6304
Phone
(239) 491-6159
Fax
(239) 230-7089
NPI assigned
May 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2018

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

Authorized official

Name
Julio Reyes Gavilan, M.D
Title
Owner
Phone
(239) 491-6159

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

5624 8TH St W Ste 112
Lehigh Acres, FL 33971-6304

Mailing address

5624 8TH St W Ste 112
Lehigh Acres, FL 33971-6304
Phone (239) 491-6159

National Provider Directory

National Provider Directory

Locations

5624 8th St W
Ste 112
Lehigh Acres, FL 33971
Phone (239) 491-6159

NPI Registry JSON

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526947200000",
    "number": "1801387113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5624 8TH ST W STE 112",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339716304",
            "telephone_number": "239-491-6159",
            "fax_number": "239-230-7089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5624 8TH ST W STE 112",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339716304",
            "telephone_number": "239-491-6159",
            "fax_number": "239-230-7089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEHIGH MEDICAL AND RESEARCH CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-22",
        "last_updated": "2018-05-22",
        "status": "A",
        "authorized_official_last_name": "GAVILAN",
        "authorized_official_first_name": "JULIO",
        "authorized_official_middle_name": "REYES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-491-6159",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehigh Acres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.