Individual
BONITA S LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
200 AVENUE F NE, WINTER HAVEN, FL 33881-4131
(863) 293-1121
Mailing address
PO BOX 91543, LAKELAND, FL 33804-1543
(863) 670-2554
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9235385
FL
Other
Enumeration date
03/12/2015
Last updated
03/12/2015
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