Provider Demographics
NPI:1194690859
Name:LEECARE THERAPY CENTER CORP
Entity type:Organization
Organization Name:LEECARE THERAPY CENTER CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:JESSIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROJAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-666-4020
Mailing Address - Street 1:12220 TOWNE LAKE DR STE 10
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33913-8021
Mailing Address - Country:US
Mailing Address - Phone:239-666-4020
Mailing Address - Fax:
Practice Address - Street 1:12220 TOWNE LAKE DR STE 10
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33913-8021
Practice Address - Country:US
Practice Address - Phone:239-666-4020
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-10
Last Update Date:2025-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center