# EDGEWATER INTERNAL MEDICINE ASSOC. INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EDGEWATER INTERNAL MEDICINE ASSOCIATES
- **Other names:** Leslie M Lee MD
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1518938372
- **Legal business name:** EDGEWATER INTERNAL MEDICINE ASSOCIATES
- **Authorized official:** DR. LESLIE MANUEL LEE MD (PRESIDENT OWNER)
- **Authorized official phone:** (386) 428-4640

## Contact information

- **Practice address:** 2568 S. RIDGEWOOD AVE, SUITE 5, EDGEWATER, FL 32141-7535
- **Practice address phone:** (386) 428-4640
- **Practice address fax:** (386) 426-1409
- **Mailing address:** 2568 SOUTH RIDGEWOOD AVE, SUITE 5, EDGEWATER, FL 32111-7535
- **Mailing address phone:** (386) 428-4640
- **Mailing address fax:** (386) 426-1409

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | ME0063341 | FL | Yes |

## Other

- **Enumeration date:** 01/30/2006
- **Last updated:** 08/04/2014