Individual
MICHAEL LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3949 EVANS AVE, STE 102, FORT MYERS, FL 33901-9335
(239) 939-2622
(239) 939-0151
Mailing address
11965 CYPRESS LINKS DR, FORT MYERS, FL 33913-8404
(239) 939-2622
(239) 939-0151
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME76642
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46821
BC/BS FL
FL
01
—
50070496
RAILROAD MEDICARE
FL
01
—
ME76642
CHAMPUS
FL
Enumeration date
01/20/2006
Last updated
08/03/2007
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