Individual
JUAN C LEE
Active
Individual
JUAN C LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
049913
GA
2085R0202X
Diagnostic Radiology Physician
Primary
ME101578
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003288400
—
FL
05
—
00909466B
—
GA
Enumeration date
07/28/2005
Last updated
08/30/2017
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