Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | ME 87363 | FL |
NPI | 1003813932 |
---|---|
Provider Name | Dr. Janet I Lee |
First Address | Tampa, FL 33619-8327 |
Second Address | Tampa, FL 33625-5814 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2005 |
Last Update Date | 03/05/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2276357 | CIGNA (01) | FL |
270804300 | (05) | FL |
294950 | AVMED (01) | FL |
48942 | BLUE CROSS & BLUE SHIELD (01) | FL |
48942X | (02) | FL |
7164660 | AETNA (01) | FL |
I18096 | (02) | FL |
P00211435 | RAILROAD MEDICARE (01) | FL |