Male or Other

William Lee MD

Anesthesiology Physician in Jacksonville, FL(View on Map)

Full Name

William Lee MD

NPI Number

1306893680

NPI Type

Individual Provider

Gender

Male

Enumeration Date

05/30/2006

Specialties

(Taxonomies)

Code

207L00000X
207LP2900X

Primary Taxonomy

Yes
No

Licenses

State

Florida
New York

License Number

ME68389
197169

Contact
Information

Purpose

Mailing
Location

Address

820 PRUDENTIAL DR
820 PRUDENTIAL DR

City

Jacksonville
Jacksonville

State

FL
FL

Postal Code

32207-8210
32207-8210

Country

US
US

Telephone Number

(904) 398-3356
(904) 398-3356

Identifiers

Identifier

161526573
272365400

Identifier State

FL
FL

Identifier Issuer

TRICARE
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/20/2009

Provider Address

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