Individual
JOHN M LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5942 BERRYHILL RD, MILTON, FL 32570-4009
(850) 981-3700
Mailing address
5942 BERRYHILL RD, MILTON, FL 32570-4009
(850) 981-3700
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME0050043
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
042123500
—
FL
Enumeration date
06/21/2006
Last updated
08/19/2010
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