1. Home
  2. Directory
  3. Florida
  4. Port Charlotte
  5. Clinic Center
  6. NPI Profile

LEE MEMORIAL HEALTH SYSTEM
NPI 1902425028
Clinic/Center - Federally Qualified Health Center (FQHC) in Port Charlotte, FL

Active since April 09, 2020
2525 HARBOR BLVD STE 204, PORT CHARLOTTE, FL 33952(941) 629-2922(941) 629-1311 Get Directions Write a Review

NPPES record last updated: April 9, 2020. Verified against the NPPES registry weekly; last sync: August 02, 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 1902425028), doing business as Lch-peds Pc#2, is a healthcare organization registered as a federally qualified health center (fqhc) in Port Charlotte, Florida and active in the NPI registry since April 2020. The organization lists Joseph Niebergall, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1902425028
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameLEE MEMORIAL HEALTH SYSTEM
Location Address2525 HARBOR BLVD STE 204Port Charlotte, FL 33952-5342
Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (941) 629-2922 · Fax (941) 629-1311
Phone(941) 629-2922
Fax(941) 629-1311
Organization SubpartNo
Authorized OfficialJoseph NiebergallCredentialing Specialist · (239) 424-1446
Enumeration DateApril 9, 2020
NPPES CertifiedApril 9, 2020
✔ NPI 1902425028 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
2525 HARBOR BLVD STE 204, Port Charlotte, FL 33952
Open in Google Maps ↗

Other Names 1

Doing Business AsLch-peds Pc#2

Accepted Insurance

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

Other Providers at the Same Location NPPES

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

DR. RHONA HOLGANZA DEPAUL M.D.
Pediatrics
2525 HARBOR BLVD STE 204
PORT CHARLOTTE, FL 33952
Charlotte County (941) 629-2922

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 1902425028. It was assigned to this organization in the NPPES registry on April 9, 2020. The provider is doing business as LCH-Peds PC#2.

Where is Lee Memorial Health System located?

Lee Memorial Health System is located at 2525 Harbor Blvd Ste 204, Port Charlotte, FL 33952. The listed phone number is (941) 629-2922.

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.

What insurance does Lee Memorial Health System accept?

Health plans from AvMed list Lee Memorial Health System as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lee Memorial Health System was last updated on April 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.