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LEE MEMORIAL HEALTH SYSTEM
NPI 1497482822
Clinic/Center - Federally Qualified Health Center (FQHC) in Fort Myers, FL

Active since August 05, 2022
12651 WHITEHALL DR, FORT MYERS, FL 33907(239) 424-2030(239) 343-4117 Get Directions Write a Review

NPPES record last updated: August 5, 2022. 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 1497482822), doing business as Lch-adult Urology Whitehall, is a healthcare organization registered as a federally qualified health center (fqhc) in Fort Myers, Florida and active in the NPI registry since August 2022. The organization lists Joseph Niebergall, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1497482822
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameLEE MEMORIAL HEALTH SYSTEM
Location Address12651 WHITEHALL DRFort Myers, FL 33907-3626
Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 424-2030 · Fax (239) 343-4117
Phone(239) 424-2030
Fax(239) 343-4117
Organization SubpartNo
Authorized OfficialJoseph NiebergallCredentialing Specialist · (239) 424-1446
Enumeration DateAugust 5, 2022
NPPES CertifiedJuly 27, 2022
✔ NPI 1497482822 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
12651 WHITEHALL DR, Fort Myers, FL 33907
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Other Names 1

Doing Business AsLch-adult Urology Whitehall

Other Providers at the Same Location NPPES 17

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

JAQUELINE SOUSA CARVALHO FNP-BC
Nurse Practitioner
12651 WHITEHALL DR
FORT MYERS, FL 33907
Lee County (239) 424-2030
RAFAEL ANGEL PENA GARCIA APRN, FNP-C
Nurse Practitioner
12651 WHITEHALL DR
FORT MYERS, FL 33907
Lee County (239) 424-2030
BRETT MICHAEL GIBLIN
Urology
12651 WHITEHALL DR
FORT MYERS, FL 33907
Lee County (239) 424-2030
LESLIE TORRES APRN
Nurse Practitioner (Family)
12651 WHITEHALL DR
FORT MYERS, FL 33907
Lee County (239) 424-2030
DANARA ALONSO RODRIGUEZ APRN
Nurse Practitioner (Family)
12651 WHITEHALL DR
FORT MYERS, FL 33907
Lee County (239) 424-2030
REYNIER ROBEL ESTRADA INFANTE APRN
Nurse Practitioner (Family)
12651 WHITEHALL DR
FORT MYERS, FL 33907
Lee County (239) 424-2030
CHASE TYLER CAVAYERO D.O
Urology
12651 WHITEHALL DR
FORT MYERS, FL 33907
Lee County (239) 424-2030
PHILIP NEWHALL MD
Urology
12651 WHITEHALL DR
FORT MYERS, FL 33907
Lee County (239) 424-2030

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 1497482822. It was assigned to this organization in the NPPES registry on August 5, 2022. The provider is doing business as Lch-Adult Urology Whitehall.

Where is Lee Memorial Health System located?

Lee Memorial Health System is located at 12651 Whitehall Dr, Fort Myers, FL 33907. The listed phone number is (239) 424-2030.

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 August 5, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.