Provider Demographics
NPI:1720419039
Name:MICHAEL F. LEE, M.D., P.A.
Entity Type:Organization
Organization Name:MICHAEL F. LEE, M.D., P.A.
Other - Org Name:BODYLOGICMD OF MIAMI
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:FREDERICK
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:877-872-0548
Mailing Address - Street 1:7887 N KENDALL DR
Mailing Address - Street 2:SUITE 230
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33156-7427
Mailing Address - Country:US
Mailing Address - Phone:877-872-0548
Mailing Address - Fax:305-630-9526
Practice Address - Street 1:7887 N KENDALL DR
Practice Address - Street 2:SUITE 230
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33156-7427
Practice Address - Country:US
Practice Address - Phone:877-872-0548
Practice Address - Fax:305-630-9526
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-12
Last Update Date:2013-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME84928174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty