Individual
MARY LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6222 43RD AVE N, KENNETH CITY, FL 33709-5020
(727) 272-0534
(727) 272-0534
Mailing address
6222 43RD AVE N, KENNETH CITY, FL 33709-5020
(727) 272-0534
(727) 272-0534
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9349997
FL
Other
Enumeration date
06/15/2026
Last updated
06/15/2026
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