Provider Demographics
NPI:1710864871
Name:COUNTY OF LEE OFFICE OF SHERIFF
Entity type:Organization
Organization Name:COUNTY OF LEE OFFICE OF SHERIFF
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEALTH SERVICES DIRECTOR / CORRECTI
Authorized Official - Prefix:MS
Authorized Official - First Name:NICHOLE
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:GREINER
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MSN, CCHP
Authorized Official - Phone:239-477-1751
Mailing Address - Street 1:14750 SIX MILE CYPRESS PKWY
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33912-4406
Mailing Address - Country:US
Mailing Address - Phone:239-477-1000
Mailing Address - Fax:239-477-1786
Practice Address - Street 1:2501 ORTIZ AVE
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33905-7804
Practice Address - Country:US
Practice Address - Phone:239-477-1000
Practice Address - Fax:239-477-1786
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-20
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2400XAmbulatory Health Care FacilitiesClinic/CenterPrison Health