Healthcare Provider Details

I. General information

NPI: 1285892406
Provider Name (Legal Business Name): JUNE LEE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2008
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4685 S CONGRESS AVE STE 201
PALM SPRINGS FL
33461-4761
US

IV. Provider business mailing address

4685 S CONGRESS AVE STE 201
PALM SPRINGS FL
33461-4761
US

V. Phone/Fax

Practice location:
  • Phone: 561-548-8600
  • Fax: 561-548-8650
Mailing address:
  • Phone: 561-548-8600
  • Fax: 561-548-8650

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberME133477
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code2086X0206X
TaxonomySurgical Oncology Physician
License NumberME133477
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: