Suzy Lee in Bonita Springs - Procedural Dermatology

Suzy Lee - NPI 1730185133

Suzy Lee is a Procedural Dermatology in Bonita Springs, Florida. Suzy Lee practices all healthcare services and medical treatments related to Procedural Dermatology. The NPI Number for Suzy Lee is 1730185133. The last update date is 2013-01-16.

Suzy Lee's current location address is 9411 Fountain Medical Ct, Bonita Springs, Florida. You can contact this provider via phone number 2392218516 and fax number 2392218787. The mailing address for Suzy Lee is 9411 Fountain Medical Ct, Bonita Springs, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Suzy Lee
Address 9411 Fountain Medical Ct, Bonita Springs, Florida
Phone Number 2392218516
Fax Number 2392218787
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1730185133
Provider Enumeration Date 2005-06-22
Last Updated Date 2013-01-16

Provider Mailing Address Detail

Address 9411 Fountain Medical Ct
City Bonita Springs
State Florida (FL)
Post Code 341354625
Phone Number 2392218516
Fax Number 2392218787

Provider's Primary Taxonomy Detail

Speciality Procedural Dermatology
Taxonomy 207Ns0135X
Licence No ME76644
Definition:
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surge

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
E1541Y FL MEDICARE INDIVIDUAL
002UE FL BCBS GROUP
P01091011 FL RAILROAD MEDICARE INDIVIDUAL
45-4144852 FL TAX ID
DT0473 FL RAILROAD MEDICARE GROUP
44836 FL BCBS FL
FY111A FL MEDICARE GROUP

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FAQs about Suzy Lee

What is the unique 10-digit identification code assigned to Suzy Lee by the Centers for Medicare & Medicaid Services?

The Suzy Lee has been issued the NPI (National Provider Identifier) 1730185133, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Where is the Suzy Lee located?

The Suzy Lee is located at 9411 Fountain Medical Ct, Bonita Springs, FL 341354625.

What is the Suzy Lee's specialty and taxonomy code?

The Suzy Lee's specialty is Procedural Dermatology, and the corresponding taxonomy code is 207Ns0135X.

On what date did the Centers for Medicare & Medicaid Services issue the 1730185133 to Suzy Lee?

The Suzy Lee received its 1730185133 assignment from the Centers for Medicare & Medicaid Services on 2005-06-22.

When was the information pertaining to Suzy Lee most recently updated or revised?

The details related to Suzy Lee, including its address, specialty, and other relevant information, were last updated or revised on 2013-01-16.

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