Individual
LEE ADAM MASSIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC
Contact information
Practice address
4565 US HIGHWAY 17 STE 200, FLEMING ISLAND, FL 32003-4823
(866) 974-2673
(904) 634-0203
Mailing address
18444 N 25TH AVE STE 310, PHOENIX, AZ 85023-1266
(866) 974-2673
(866) 939-2673
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN11030005
FL
363LA2100X
Acute Care Nurse Practitioner
11030005
FL
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN11030005
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123466700
—
FL
Enumeration date
12/05/2023
Last updated
07/28/2025
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