Individual
MR. CHA LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7040 LAND O LAKES BLVD UNIT 103, LAND O LAKES, FL 34638-3201
(813) 803-7907
(813) 528-8960
Mailing address
7040 LAND O LAKES BLVD UNIT 103, LAND O LAKES, FL 34638-3201
(813) 803-7907
(813) 528-8960
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
42508020
WI
207Q00000X
Family Medicine Physician
Primary
ME163264
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001546
MEDICARE GROUP NUMBER
WI
05
—
34066500
—
WI
Enumeration date
08/29/2006
Last updated
12/11/2023
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