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Individual

LEE MICHAEL JAMES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1641 TAMIAMI TRL, SUITE 1, PORT CHARLOTTE, FL 33948-1018
(941) 629-6262
(941) 629-1782
Mailing address
1641 TAMIAMI TRL, SUITE 1, PORT CHARLOTTE, FL 33948-1018
(941) 629-6262
(941) 629-1782

Taxonomy

Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
OS13788
FL
208VP0014X
Interventional Pain Medicine Physician
Primary
OS13788
FL

Other

Enumeration date
06/06/2011
Last updated
01/21/2020
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