Individual
BEVERLY LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1240 WINTER GARDEN VINELAND RD APT B3, WINTER GARDEN, FL 34787-4319
(352) 895-4369
Mailing address
1240 WINTER GARDEN VINELAND RD APT B3, WINTER GARDEN, FL 34787-4319
(352) 895-4369
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/19/2014
Last updated
06/19/2014
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