Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | ME102182 | FL |
NPI | 1174518401 |
---|---|
Provider Name | Lee Brandon Epstein |
First Address | Jacksonville, FL 32245-6568 |
Second Address | Jacksonville Beach, FL 32250 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2005 |
Last Update Date | 14/10/2016 |