Lee, Suzy
Lee, Suzy is an individual health care provider with primary practice located at 9411 Fountain Medical Ct Ste E100, Bonita Springs FL 34135-4625. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology, Allopathic & Osteopathic Physicians / Pediatric Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Lee, Suzy can be contacted via phone (239) 221-8516.Contact Information
Primary practice address
9411 Fountain Medical Ct Ste E100
Bonita Springs FL 34135-4625
Phone: (239) 221-8516
Fax: (239) 221-8787
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | ME76644 | Florida |
| Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology | 207NI0002X | ME76644 | Florida |
| Allopathic & Osteopathic Physicians / Pediatric Dermatology | 207NP0225X | ME76644 | Florida |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | ME76644 | Florida |
Profile Details
| NPI number | 1730185133 |
|---|---|
| LBN Legal business name | Lee, Suzy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | Jan 16th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730185133 | NPPES |
| Florida | Other | E1541Y | MEDICARE INDIVIDUAL |
| Florida | Other | 002UE | MEDICARE INDIVIDUAL |
| Florida | Other | P01091011 | MEDICARE INDIVIDUAL |
| Florida | Other | 45-4144852 | MEDICARE INDIVIDUAL |
| Florida | Other | DT0473 | MEDICARE INDIVIDUAL |
| Florida | Other | 44836 | MEDICARE INDIVIDUAL |
| Florida | Other | FY111A | MEDICARE INDIVIDUAL |
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