Healthcare Provider Details

I. General information

NPI: 1982280574
Provider Name (Legal Business Name): JANE HWEI LEE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2021
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3701 CORTEZ RD W
BRADENTON FL
34210-3108
US

IV. Provider business mailing address

8130 LAKEWOOD MAIN ST STE 103
LAKEWOOD RANCH FL
34202-5068
US

V. Phone/Fax

Practice location:
  • Phone: 941-352-3520
  • Fax:
Mailing address:
  • Phone: 941-499-2700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License NumberME172533
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME172533
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: