MEDICARE: JUNE LEE MD

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	208600000X	Surgery Physician	ME133477	FL
2	2086X0206X	Surgical Oncology Physician	ME133477	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285892406
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUNE LEE MD

Provider Business Mailing Address
First Line	:	4685 S CONGRESS AVE STE 201
Second Line	:
City	:	PALM SPRINGS
State	:	FL
Zip	:	33461-4761
Country	:	US
Telephone Number	:	561-548-8600
Fax Number	:	561-548-8650

Provider Business Practice Location Address
First Line	:	4685 S CONGRESS AVE STE 201
Second Line	:
City	:	PALM SPRINGS
State	:	FL
Zip	:	33461-4761
Country	:	US
Telephone Number	:	561-548-8600
Fax Number	:	561-548-8650

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

Provider Enumeration Date	:	05/23/2008
Last Update Date	:	03/17/2018

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Directions to “ JUNE LEE MD” Practice Location

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