MEDICARE: LEE NATHANIEL METCHICK MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	103096	GA
2	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	ME89297	FL

General Provider Information

NPI Number	:	1407851801
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEE NATHANIEL METCHICK MD

Provider Business Mailing Address
First Line	:	141 VICTORIA COMMONS BLVD
Second Line	:
City	:	DELAND
State	:	FL
Zip	:	32724-7700
Country	:	US
Telephone Number	:	386-427-4544
Fax Number	:	386-427-8688

Provider Business Practice Location Address
First Line	:	141 VICTORIA COMMONS BLVD
Second Line	:
City	:	DELAND
State	:	FL
Zip	:	32724-7700
Country	:	US
Telephone Number	:	386-427-4544
Fax Number	:	386-427-8688

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2005
Last Update Date	:	06/12/2025

Similar Medicare Providers

1730185307 — ENDOCRINOLOGY OF CENTRAL FLORIDA PA
Practice Location Address:

141 VICTORIA COMMONS BLVD
DELAND, FL
32724-7700

Practice Phone: 386-427-4544
Practice Fax: 386-427-8688

1700878253 — JOEL O BAUTISTA MD
Practice Location Address:

151 VICTORIA COMMONS BLVD , SUITE 105
DELAND, FL
32724-7700

Practice Phone: 386-943-7175
Practice Fax: 386-734-8825

1336990175 — URVASHI NATH
Practice Location Address:

141 VICTORIA COMMONS BLVD
DELAND, FL
32724-7700

Practice Phone: 386-427-4544
Practice Fax:

1346244191 — UNIVERSITY EAST REHABILITATION CENTER, LLC
Practice Location Address:

991 E NEW YORK AVE
DELAND, FL
32724-5664

Practice Phone: 386-734-9083
Practice Fax: 386-734-0299

1699775056 — DEBORAH L CONRAN D.O.
Practice Location Address:

1431 ORANGE CAMP RD STE 118
DELAND, FL
32724-7770

Practice Phone: 386-943-3234
Practice Fax: 386-822-5487

1659373207 — GERALD SALVATICO CRNA
Practice Location Address:

650 FOREST LN
DELAND, FL
32724-4829

Practice Phone: 386-736-1574
Practice Fax: 386-943-4734

Directions to “ LEE NATHANIEL METCHICK MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.