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NPI Code Detail

MEDICARE: RAYMOND LEE MD

MEDICARE: RAYMOND LEE 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
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianME74892FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2780001256OTHERMEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1407858749
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAYMOND LEE MD
Provider Business Mailing Address
First Line : 1824 KING ST STE 200
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32204-4736
Country : US
Telephone Number : 904-384-3343
Fax Number : 904-400-6671
Provider Business Practice Location Address
First Line : 1824 KING ST STE 200
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32204-4736
Country : US
Telephone Number : 904-384-3343
Fax Number : 904-400-6671
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2005
Last Update Date : 11/23/2022

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Directions to “ RAYMOND LEE MD” Practice Location

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