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NPI Code Detail

MEDICARE: DR. KELVIN CHEE-MING LEE M.D.

MEDICARE: DR. KELVIN CHEE-MING LEE M.D.
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
1208000000XPediatrics Physician247060NY
22080P0202XPediatric Cardiology Physician48930TN
32080P0202XPediatric Cardiology PhysicianME123202FL

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 : 1578722997
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KELVIN CHEE-MING LEE M.D.
Provider Business Mailing Address
First Line : 2501 N ORANGE AVE STE 310
Second Line :
City : ORLANDO
State : FL
Zip : 32804-4642
Country : US
Telephone Number : 407-303-2001
Fax Number : 407-303-2450
Provider Business Practice Location Address
First Line : 2501 N ORANGE AVE STE 310
Second Line :
City : ORLANDO
State : FL
Zip : 32804-4642
Country : US
Telephone Number : 407-303-2001
Fax Number : 407-303-2450
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2008
Last Update Date : 06/09/2016

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