Provider Demographics
NPI:1770862252
Name:LEE COUNTY CARE CENTER LLC
Entity Type:Organization
Organization Name:LEE COUNTY CARE CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:ESTREMERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-242-2202
Mailing Address - Street 1:618 SW 3RD ST
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33991-1985
Mailing Address - Country:US
Mailing Address - Phone:239-242-2202
Mailing Address - Fax:239-242-2220
Practice Address - Street 1:618 SW 3RD ST
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33991-1985
Practice Address - Country:US
Practice Address - Phone:239-242-2202
Practice Address - Fax:239-242-2220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy