Blackwell, Lea Moreen

Blackwell, Lea Moreen is an individual health care provider with primary practice located at 13691 Metro Pkwy Ste 300 , Fort Myers FL 33912-4322. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Blackwell, Lea Moreen can be contacted via phone (239) 264-1236.

Contact Information

Primary practice address
13691 Metro Pkwy Ste 300 Fort Myers FL 33912-4322
Fax: (321) 359-7055
Website:

Health care specialties

Profile Details

NPI number 1356508410
LBN Legal business name Blackwell, Lea Moreen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2008
Last updated Jun 27th, 2023 - about 2 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 1356508410 NPPES
Florida MEDICAID 000373700
Florida Other 0172805
Florida Other P00657339
Florida Other 463262

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