Individual
DR. BRIAN M LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10 DOUG FORD DRIVE, PENSACOLA, FL 32507
(850) 492-2010
(850) 492-2012
Mailing address
PO BOX 34307, PENSACOLA, FL 32507-4307
(850) 492-2010
(850) 492-2012
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME 79663
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5811648
AETNA
FL
01
—
BC 49848
BLUE CROSS
—
Enumeration date
12/28/2006
Last updated
01/22/2014
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