Provider Demographics
NPI:1457757080
Name:LEE, CHEE KHOON (ARNP)
Entity Type:Individual
Prefix:
First Name:CHEE KHOON
Middle Name:
Last Name:LEE
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:915 INTRACOASTAL DR
Mailing Address - Street 2:7
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33304-3629
Mailing Address - Country:US
Mailing Address - Phone:954-663-5241
Mailing Address - Fax:
Practice Address - Street 1:930 SW 93RD AVE
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-3812
Practice Address - Country:US
Practice Address - Phone:954-663-5241
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-10
Last Update Date:2016-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9309822363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily