Individual
WILLIAM DEWEY LEE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
12086 FORT CAROLINE RD, STE # 401, JACKSONVILLE, FL 32225-2687
(904) 565-1271
(904) 646-1733
Mailing address
DRAWER 657, P.O.BOX 850001, ORLANDO, FL 32885-0657
(904) 565-1271
(904) 645-7325
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9106828
FL
Other
Enumeration date
10/08/2012
Last updated
02/11/2013
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