Individual
WILLIAM LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
820 PRUDENTIAL DR, SUITE 606, JACKSONVILLE, FL 32207-8210
(904) 398-3356
(904) 398-5397
Mailing address
820 PRUDENTIAL DR, SUITE 606, JACKSONVILLE, FL 32207-8210
(904) 398-3356
(904) 398-5397
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
197169
NY
207L00000X
Anesthesiology Physician
Primary
ME68389
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
197169
NY
207LP2900X
Pain Medicine (Anesthesiology) Physician
ME68389
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
161526573
TRICARE
FL
05
—
272365400
—
FL
Enumeration date
05/30/2006
Last updated
08/20/2009
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