Individual
GRACE HYEIWON LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3515 E FLETCHER AVE, TAMPA, FL 33613
(813) 974-2201
(813) 974-4325
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
OS15548
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103371000
—
FL
01
—
17S9E
BLUE CROSS BLUE SHIELD
FL
Enumeration date
04/03/2014
Last updated
03/31/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us