Male or Other

William D. Lee PA

Medical Physician Assistant in Jacksonville, FL(View on Map)

Full Name

William Dewey Lee PA

NPI Number

1356693881

NPI Type

Individual Provider

Gender

Male

Enumeration Date

10/08/2012

Specialties

(Taxonomies)

Code

363AM0700X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

PA9106828

Contact
Information

Purpose

Mailing
Location

Address

DRAWER 657
12086 FORT CAROLINE RD

City

Orlando
Jacksonville

State

FL
FL

Postal Code

32885-0657
32225-2687

Country

US
US

Telephone Number

(904) 565-1271
(904) 565-1271

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

Data last updated by provider on 02/11/2013

Provider Address

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