MEDICARE: DR. SIN 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	207P00000X	Emergency Medicine Physician	ME91558	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	:	1831194232
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SIN LEE MD

Provider Business Mailing Address
First Line	:	6930 GUNN HWY
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33625-3853
Country	:	US
Telephone Number	:	407-200-2300
Fax Number	:

Provider Business Practice Location Address
First Line	:	13100 FORT KING RD
Second Line	:
City	:	DADE CITY
State	:	FL
Zip	:	33525-5294
Country	:	US
Telephone Number	:	352-521-1100
Fax Number	:

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

Provider Enumeration Date	:	06/14/2005
Last Update Date	:	12/05/2016

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Directions to “ DR. SIN LEE MD” Practice Location

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