Individual
ALFRED S. LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5307 MAIN ST, SUITE 105, NEW PORT RICHEY, FL 34652-2536
(727) 846-6900
(727) 846-6910
Mailing address
5307 MAIN ST, SUITE 105, NEW PORT RICHEY, FL 34652-2536
(727) 846-6900
(727) 846-6910
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME78944
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110195754
MEDICARE RAILROAD
FL
05
—
257605800
—
FL
01
—
47280
BLUE CROSS / BLUE SHIELD
FL
Enumeration date
10/24/2005
Last updated
02/03/2014
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