Individual
DR. LEE G THEOPHELIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
ME59792
FL
2086S0127X
Trauma Surgery Physician
ME59792
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18869V
FL MEDICARE
FL
01
—
18869W
FL MEDICARE
FL
05
—
372847100
—
FL
Enumeration date
05/26/2006
Last updated
11/03/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up