LCH - PEDIATRIC ENT
NPI 1548840838
Clinic/Center - Federally Qualified Health Center (FQHC) in Fort Myers, FL

Q: What is Lee Memorial Health System's NPI number?

The NPI number for Lee Memorial Health System is 1548840838. It was assigned to this organization in the NPPES registry on April 10, 2021. The provider is doing business as Lch - Pediatric Ent.

Q: 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.

Active since April 10, 2021

16410 HEALTHPARK COMMONS DR, FORT MYERS, FL 33908(239) 343-7474(239) 343-4190 Get Directions Write a Review

NPPES record last updated: December 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 13, 2023, Apr 10, 2021 (2 updates tracked since 2021).

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About Lch - Pediatric Ent NPPES

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

LCH - PEDIATRIC ENT (NPI 1548840838) is a healthcare organization registered as a federally qualified health center (fqhc) in Fort Myers, Florida and active in the NPI registry since April 2021. The organization maintains a secondary practice location in Fort Myers and lists James Fores, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1548840838

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameLEE MEMORIAL HEALTH SYSTEM

Location Address16410 HEALTHPARK COMMONS DRFort Myers, FL 33908-9621

Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 424-1449 · Fax (239) 424-1423

Phone(239) 343-7474

Fax(239) 343-4190

Organization SubpartNo

Authorized OfficialJames ForesCredentialing Specialist · (239) 424-1479

Enumeration DateApril 10, 2021

Last NPPES UpdateDecember 13, 20232 updates tracked since enumeration

NPPES CertifiedDecember 13, 2023

✔ NPI 1548840838 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

16410 HEALTHPARK COMMONS DR, Fort Myers, FL 33908

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Other Names 1

Doing Business AsLch - Pediatric Ent

Secondary Practice Location 1

Location 116230 Summerlin Rd Ste 215Fort Myers, FL 33908-5769 · Phone (239) 343-6050 · Fax (239) 343-6136

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.Insurance ›

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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.

DMITRY MYSH MD

Internal Medicine (Gastroenterology)