MEDICARE: COMPREHENSIVE RADIOLOGY SPECIALISTS

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	2085R0204X	Vascular & Interventional Radiology Physician

General Provider Information

NPI Number	:	1861356933
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPREHENSIVE RADIOLOGY SPECIALISTS

Provider Business Mailing Address
First Line	:	2001 SIESTA DR STE 100
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34239-5200
Country	:	US
Telephone Number	:	941-777-4723
Fax Number	:

Provider Business Practice Location Address
First Line	:	2001 SIESTA DR STE 100
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34239-5200
Country	:	US
Telephone Number	:	941-777-4723
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	DR. JUSTIN STEVEN LEE
Credential	:	MD
Telephone Number	:	202-286-3466

Provider Enumeration Date	:	12/12/2025
Last Update Date	:	12/12/2025

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