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 |
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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 |
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Provider Enumeration Date | 2005-06-22 |
Last Updated Date | 2013-01-16 |
Provider Mailing Address Detail
Address | 9411 Fountain Medical Ct |
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City | Bonita Springs |
State | Florida (FL) |
Post Code | 341354625 |
Phone Number | 2392218516 |
Fax Number | 2392218787 |
Provider's Primary Taxonomy Detail
Speciality | Procedural Dermatology |
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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 |
Post Comment/ Review Below
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.
NPI Number: 1275535502
Address: 1986 Enterprise Ave Apt B, Great Lakes, IL