Individual
ERICA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9208 KING PALM DR, TAMPA, FL 33619-1328
(813) 828-2273
(813) 736-4871
Mailing address
9208 KING PALM DR, TAMPA, FL 33619-1328
(813) 828-2273
(813) 736-4871
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9116519
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA9116519
PA STATE LICENSE
FL
Enumeration date
10/06/2022
Last updated
12/11/2025
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