Lee, Juan C

Lee, Juan C is an sole proprietor health care provider with primary practice located at 2700 University Square Dr , Tampa FL 33612-5513. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Lee, Juan C can be contacted via phone (813) 253-2721.

Contact Information

Primary practice address
2700 University Square Dr Tampa FL 33612-5513
Phone: (813) 253-2721
Fax: (813) 253-2299
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 049913 Georgia
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME101578 Florida

Profile Details

NPI number 1205836699
LBN Legal business name Lee, Juan C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2005
Last updated Aug 30th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1205836699 NPPES
Georgia MEDICAID 00909466B
Georgia MEDICAID 003288400

Popular Providers