Individual
DR. SUYIN J LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
165 DURBIN STATION CT STE 601, ST JOHNS, FL 32259-9370
(904) 671-0288
(904) 508-0674
Mailing address
PO BOX 385, PONTE VEDRA BEACH, FL 32004-0385
(904) 671-0288
(904) 508-0674
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
5101018898
MI
208100000X
Physical Medicine & Rehabilitation Physician
71696
GA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
OS12124
FL
Other
Enumeration date
04/01/2010
Last updated
09/02/2021
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