Individual
DERRICK TAK LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMD, FPC
Contact information
Practice address
2390 N AIRPORT RD, FORT MYERS, FL 33907-1426
(561) 436-0004
Mailing address
2390 N AIRPORT RD, FORT MYERS, FL 33907-1426
(561) 436-0004
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
PMD520178
FL
Other
Enumeration date
04/10/2025
Last updated
04/10/2025
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