Healthcare Provider Details

I. General information

NPI: 1417286550
Provider Name (Legal Business Name): ELIZABETH ROWELL LEE APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/21/2009
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4570 LYONS RD STE 110
COCONUT CREEK FL
33073-3481
US

IV. Provider business mailing address

900 S PINE ISLAND RD STE 800
PLANTATION FL
33324-3923
US

V. Phone/Fax

Practice location:
  • Phone: 954-971-3210
  • Fax: 954-971-3427
Mailing address:
  • Phone: 954-971-3210
  • Fax: 954-971-3427

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN9179059
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberAPRN9179059
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: