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Individual

SEONG K. LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1150 N 35TH AVE, SUITE 135, HOLLYWOOD, FL 33021-5424
(954) 265-5969
(954) 965-3599
Mailing address
1150 N 35TH AVE, SUITE 135, HOLLYWOOD, FL 33021-5424
(954) 265-5969
(954) 965-3599

Taxonomy

Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
Primary
93917
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
275990000
FL
01
93917
FLORIDA LIC#
FL
Enumeration date
07/26/2006
Last updated
07/02/2010
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