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LEE MEMORIAL HEALTH SYSTEM
NPI 1205678240
Clinic/Center - Federally Qualified Health Center (FQHC) in Port Charlotte, FL

Active since June 11, 2024
22655 BAYSHORE RD STE 110, PORT CHARLOTTE, FL 33980(412) 354-9009(941) 235-4901 Get Directions Write a Review

NPPES record last updated: June 11, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lee Memorial Health System NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEE MEMORIAL HEALTH SYSTEM (NPI 1205678240), doing business as Gchswfl Charlotte County Pediatric Specialty Clinic, is a healthcare organization registered as a federally qualified health center (fqhc) in Port Charlotte, Florida and active in the NPI registry since June 2024. The organization lists Vivian M Rodriguez, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1205678240
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameLEE MEMORIAL HEALTH SYSTEM
Location Address22655 BAYSHORE RD STE 110Port Charlotte, FL 33980-2005
Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (941) 235-4900 · Fax (941) 235-4901
Phone(412) 354-9009
Fax(941) 235-4901
Organization SubpartNo
Authorized OfficialVivian M RodriguezCredentialing Specialist · (239) 424-1452
Enumeration DateJune 11, 2024
NPPES CertifiedJune 11, 2024
✔ NPI 1205678240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
22655 BAYSHORE RD STE 110, Port Charlotte, FL 33980
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Other Names 1

Doing Business AsGchswfl Charlotte County Pediatric Specialty Clinic

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANDREAS H WERLE M.D.
Otolaryngology (Pediatric Otolaryngology)
22655 BAYSHORE RD STE 110
PORT CHARLOTTE, FL 33980
Charlotte County (941) 235-4900
DR. PAMELA PAPOLA M.D.
Pediatrics (Neurodevelopmental Disabilities)
22655 BAYSHORE RD STE 110
PORT CHARLOTTE, FL 33980
Charlotte County (941) 235-4900
DR. MARY C SOKOLOSKI MD
Pediatrics (Pediatric Cardiology)
22655 BAYSHORE RD STE 110
PORT CHARLOTTE, FL 33980
Charlotte County (941) 235-4900
DR. VIRAINE S WEERASOORIYA MD
Pediatrics (Pediatric Gastroenterology)
22655 BAYSHORE RD STE 110
PORT CHARLOTTE, FL 33980
Charlotte County (941) 235-4900
MRS. SUSAN JANE NOLAN PA-C
Physician Assistant (Medical)
22655 BAYSHORE RD STE 110
PORT CHARLOTTE, FL 33980
Charlotte County (941) 235-4900
SOPHIA FRENCH M.D.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
22655 BAYSHORE RD STE 110
PORT CHARLOTTE, FL 33980
Charlotte County (941) 235-4900
JOSE COLON MD
Psychiatry & Neurology (Sleep Medicine)
22655 BAYSHORE RD STE 110
PORT CHARLOTTE, FL 33980
Charlotte County (941) 235-4900
ASLAM HYDER QURESHI
Pediatrics (Pediatric Nephrology)
22655 BAYSHORE RD STE 110
PORT CHARLOTTE, FL 33980
Charlotte County (941) 235-4900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lee Memorial Health System's NPI number?

The NPI number for Lee Memorial Health System is 1205678240. It was assigned to this organization in the NPPES registry on June 11, 2024. The provider is doing business as GCHSWFL Charlotte County Pediatric Specialty Clinic.

Where is Lee Memorial Health System located?

Lee Memorial Health System is located at 22655 Bayshore Rd Ste 110, Port Charlotte, FL 33980. The listed phone number is (412) 354-9009.

What is Lee Memorial Health System's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

When was this NPI record last updated?

The NPPES record for Lee Memorial Health System was last updated on June 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.