Individual
EDMOND LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC
Contact information
Practice address
219 NW 12TH AVE APT 910, MIAMI, FL 33128-2208
(646) 334-2604
Mailing address
219 NW 12TH AVE APT 910, MIAMI, FL 33128-2208
(646) 334-2604
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
11006989
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11006989
FL
Other
Enumeration date
07/22/2020
Last updated
10/02/2024
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