EDGEWATER INTERNAL MEDICINE ASSOC. INC. (NPI# 1518938372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518938372 |
| Entity Type | Organization |
| Organization Name | EDGEWATER INTERNAL MEDICINE ASSOC. INC. |
| Other Organization Name | LESLIE M LEE MD |
| Practice Address |
2568 S. Ridgewood Ave Suite 5 Edgewater FL 32141-7535 |
| Mailing Address |
2568 South Ridgewood Ave Suite 5 Edgewater FL 32111-7535 |
| Practice Telephone | 3864284640 |
| Practice Fax Number | 3864261409 |
| Mailing Telephone | 3864284640 |
| Mailing Fax Number | 3864261409 |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2014-08-04 |
| Authorized Official Name | DR. LESLIE MANUEL LEE (PRESIDENT OWNER) |
| Authorized Official Telephone | 3864284640 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | EDGEWATER INTERNAL MEDICINE ASSOCIATES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | ME0063341 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS | 23541 | 01 |
| Other Name | Type Code |
|---|---|
| Leslie M Lee MD | Former Legal Business Name - Organization |
| Street Address |
2568 S. RIDGEWOOD AVE SUITE 5 |
| City | EDGEWATER |
| State | FL |
| Zip Code | 32141-7535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538648613 | Volusia Center for Surgical Excellence | Clinic/Center | 2568 S Ridgewood Ave Ste 4, Edgewater, FL 32141 | 2018-08-09 |
| 1174000277 | Kathryn Nicole Turner | Speech-Language Pathologist | 2425 Needle Palm Dr, Edgewater, FL 32141 | 2018-07-23 |
| 1710472451 | Caring Rx, LLC | Pharmacy | 21002 S Ridgewood Ave, Suite 2, Edgewater, FL 32141 | 2018-06-26 |
| 1356554240 | Rebecca Lynn Cicchetti | Physical Therapist | 2568 S Ridgewood, Suite 1, Edgewater, FL 32141 | 2007-05-07 |
| 1972675825 | James J Byrne | General Practice | 185 North Route 1, Oak Hill, FL 32141 | 2006-11-15 |
| 1093294662 | Evan Michael Criscio | Optometrist | 2568 S Ridgewood Ave Ste 4, Edgewater, FL 32141 | 2018-08-14 |
| 1871514240 | Winn Dixie Stores Inc | Durable Medical Equipment & Medical Supplies | 1838 S Ridgewood Ave, Edgewater, FL 32141-3643 | 2006-07-21 |
| 1134519309 | Michelle Salkey | Pharmacist | 1838 S Ridgewood Ave, Edgewater, FL 32141-3643 | 2015-01-27 |
| 1912266560 | Joshua Budvarson | Contractor | 2129 Pine Tree Dr, Edgewater, FL 32141-3807 | 2012-05-15 |
| 1063052520 | Meghan Budvarson | Social Worker | 2129 Pine Tree Dr, Edgewater, FL 32141-3807 | 2020-01-13 |
| Find all providers in zip 32141 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669855565 | Rotoli Medical Consultants LLC | Internal Medicine | 103 River Rd Ste 1b, Edgewater, NJ 07020-1016 | 2015-07-09 |
| 1164648515 | Stanley Bernard Garbus | Internal Medicine | 2204 Daibes Ct, Edgewater, NJ 07020-1066 | 2007-04-17 |
| 1235176157 | Ellen Rose Mcinerney | Internal Medicine | 137 Mitchells Chance Rd, Suite 180, Edgewater, MD 21037-2787 | 2006-05-31 |
| 1730145095 | Michael Eugene Johnson | Internal Medicine | 506 N Ridgewood Ave, Edgewater, FL 32132-1622 | 2006-04-25 |
| 1013984046 | Nadia Akhmed | Internal Medicine | 3168 Braverton St, 330, Edgewater, MD 21037-2674 | 2006-03-08 |
| 1750352431 | Leslie Manuel Lee | Internal Medicine | 2568 S Ridgewood Ave, Suite 5, Edgewater, FL 32141-5980 | 2006-01-30 |
| 1649648809 | Universal Medicine, LLC | Internal Medicine | 103 River Rd, Suite 101, Edgewater, NJ 07020-1016 | 2015-09-04 |
| 1174906457 | Marjorie Maye Soledad Mamsaang | Internal Medicine | 103 River Rd Ste 101, Edgewater, NJ 07020-1016 | 2015-07-03 |
| 1265844872 | Adam Atoot | Internal Medicine | 935 River Rd, Edgewater, NJ 07020-2234 | 2014-05-30 |
| 1164708319 | Andrei Terentiev Md LLC | Internal Medicine | 103 River Rd, Suite 101, Edgewater, NJ 07020-1016 | 2011-11-01 |
| Find all providers in EDGEWATER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.