Individual
MR. BRIAN ANTHONY LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
726 NW 8TH AVE, SUITE A, GAINESVILLE, FL 32601-5094
(352) 871-0134
Mailing address
14563 NW 22ND PLACE, NEWBERRY, FL 32669
(352) 332-5598
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA40028
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C2488
BCBS PROVIDER #
FL
Enumeration date
01/30/2007
Last updated
07/08/2007
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