MEDICARE: HELEN LEE PHAMD

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	1835P0200X	Pediatric Pharmacist	PS36161	FL

General Provider Information

NPI Number	:	1649122417
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HELEN LEE PHAMD

Provider Business Mailing Address
First Line	:	3100 SW 62ND AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33155-3009
Country	:	US
Telephone Number	:	305-527-5535
Fax Number	:

Provider Business Practice Location Address
First Line	:	3100 SW 62ND AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33155-3009
Country	:	US
Telephone Number	:	305-527-5535
Fax Number	:

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

Provider Enumeration Date	:	02/12/2026
Last Update Date	:	02/12/2026

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