Provider Demographics
NPI:1801810098
Name:LEE, JEFFREY H (EDD)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:H
Last Name:LEE
Suffix:
Gender:M
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9900 W SAMPLE RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-4048
Mailing Address - Country:US
Mailing Address - Phone:954-255-8050
Mailing Address - Fax:954-255-8060
Practice Address - Street 1:9900 W SAMPLE RD
Practice Address - Street 2:SUITE 300
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-4048
Practice Address - Country:US
Practice Address - Phone:954-255-8050
Practice Address - Fax:954-255-8060
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT1388106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist