Antigua-Lee, Marcia Eliza

Antigua-Lee, Marcia Eliza is an individual health care provider with primary practice located at 13650 Metropolis Avenue Suite 101, Fort Myers FL 33912. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Antigua-Lee, Marcia Eliza can be contacted via phone (239) 768-2111.

Contact Information

Primary practice address
13650 Metropolis Avenue Suite 101 Fort Myers FL 33912
Fax: (239) 768-2113
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME68892 Florida

Profile Details

NPI number 1548227044
LBN Legal business name Antigua-Lee, Marcia Eliza
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Aug 14th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548227044 NPPES
Florida MEDICAID 379722800

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