Individual
MR. JONATHAN C LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AP
Contact information
Practice address
505 DELANNOY AVE, COCOA, FL 32922-7813
(321) 454-9259
(321) 454-9974
Mailing address
505 DELANNOY AVE, COCOA, FL 32922-7813
(321) 454-9259
(321) 454-9974
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
2809
FL
Other
Enumeration date
07/02/2012
Last updated
02/24/2014
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