Organization
IKE I LEE MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IKE I LEE M.D. (OWNER)
(863) 402-0909
Entity
Organization
Contact information
Practice address
3101 MEDICAL WAY, SEBRING, FL 33870-5548
(863) 402-0909
(863) 402-1090
Mailing address
3101 MEDICAL WAY, SEBRING, FL 33870-5548
(863) 402-0909
(863) 402-1090
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
ME0072053
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
252269100
—
FL
Enumeration date
02/03/2015
Last updated
02/03/2015
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