SUZY LEE (NPI# 1730185133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730185133 |
Entity Type | Individual |
Full Name | SUZY LEE |
Credential | M.D. |
Practice Address |
9411 Fountain Medical Ct Ste E100 Bonita Springs FL 34135-4625 |
Practice Telephone | 2392218516 |
Practice Fax Number | 2392218787 |
Mailing Telephone | 2392218516 |
Mailing Fax Number | 2392218787 |
Enumeration Date | 2005-06-22 |
Last Update Date | 2013-01-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207N00000X | Dermatology | ME76644 | FL | Allopathic & Osteopathic Physicians |
N | 207NI0002X |
Dermatology Specialization: Clinical & Laboratory Dermatological Immunology |
ME76644 | FL | Allopathic & Osteopathic Physicians |
N | 207NP0225X |
Dermatology Specialization: Pediatric Dermatology |
ME76644 | FL | Allopathic & Osteopathic Physicians |
N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
ME76644 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | RAILROAD MEDICARE GROUP | DT0473 | 01 |
FL | MEDICARE GROUP | FY111A | 01 |
FL | BCBS FL | 44836 | 01 |
FL | TAX ID | 45-4144852 | 01 |
FL | MEDICARE INDIVIDUAL | E1541Y | 01 |
FL | BCBS GROUP | 002UE | 01 |
FL | RAILROAD MEDICARE INDIVIDUAL | P01091011 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538603576 | Suzy Lee | Occupational Therapist | 3801 Miranda Ave, 117, Palo Alto, CA 94304-1207 | 2016-12-09 |
Street Address |
9411 FOUNTAIN MEDICAL CT STE E100 |
City | BONITA SPRINGS |
State | FL |
Zip Code | 34135-4625 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649630021 | Associates In Medicine & Surgery LLC | Anesthesiology | 9411 Fountain Medical Ct, Suite E101, Bonita Springs, FL 34135-4625 | 2016-02-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063022051 | Td Dental Group LLC | Clinic/Center | 28410 Crossing Blvd, Suit 230, Bonita Springs, FL 34135 | 2020-08-04 |
1619591096 | Lucinda Zagnoli | Counselor | 3501 Health Center Blvd Suite 2140, Bonita Springs, FL 34135 | 2020-06-02 |
1124649512 | Samantha S Wadas | Occupational Therapist | Solaris Rehab, LLC, 9520 Bonita Beach Rd Se, Bonita Springs, FL 34135 | 2020-04-27 |
1245710409 | Carrie Silverman | Hearing Instrument Specialist | 8951 Bonita Beach Rd Se Ste 240, Bonita Springs, FL 34135 | 2018-08-17 |
1124513593 | Lee Memorial Health System | Pharmacy | 23450 Via Coconut Point, Estero, FL 34135 | 2018-06-27 |
1801303540 | Lee Tasha Perez | Acupuncturist | 8840 Terrene Ct Ste 101, Bonita Springs, FL 34135 | 2018-01-03 |
1164942686 | Mind/mood Counseling & Coaching Centers of Swfl, Pllc | Community/Behavioral Health | 9990 Coconut Road, Attn. Emily - Bes Manager, Bonita Springs, FL 34135 | 2017-06-26 |
1699295691 | Alfa Brothers Group | Durable Medical Equipment & Medical Supplies | 28161 Pine Haven Way, Apt 135, Bonita Springs, FL 34135 | 2017-06-21 |
1992257919 | Lillian Mary Catherine Lienhardt | Physician Assistant | 27390 Tennesse Street, Bonita Springs, FL 34135 | 2016-10-25 |
1104277623 | American Spine & Orthopeadic Institute, LLC | Orthopaedic Surgery | 3501 Health Center Blvd Ste 2430, Bonita Springs, FL 34135 | 2016-06-27 |
Find all providers in zip 34135 |
Taxonomy Code | 207N00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740509157 | Sarah Churton | Dermatology | 23471 Walden Center Drive, Suite 300, Bonita Springs, FL 34134 | 2010-05-25 |
1225369630 | John Raymond Marnocha | Dermatology | 3330 Crossings Ct, Ph2, Bonita Springs, FL 34134-2686 | 2010-01-25 |
1720095102 | Morris Jacob Lipnik | Dermatology | 27730 Riverwalk Way, Bonita Springs, FL 34134-8691 | 2006-08-01 |
1689617110 | Roxanna Maria Menendez | Dermatology | 25987 S. Tamiami Trail, Unit 90, Bonita Springs, FL 34134 | 2006-06-13 |
1972776086 | K. L. Spear | Dermatology | 8951 Bonita Beach Rd Se, Suit 525 #101, Bonita Springs, FL 34135-4201 | 2008-04-09 |
1235343302 | Morris J Lipnik Md Pa | Dermatology | 27730 Riverwalk Way, Bonita Springs, FL 34134-8691 | 2007-05-09 |
1245362763 | Brian George Fabian | Dermatology | 26800 S Tamiami Trl, Suite 310, Bonita Springs, FL 34134-4349 | 2007-03-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962002154 | Precision Skin LLC | Dermatology | 3501 S University Dr Ste 5, Davie, FL 33328-2001 | 2020-10-28 |
1487252417 | Janice Reaume | Dermatology | 3335 Imperial Manor Way, Mulberry, FL 33860-5519 | 2020-10-12 |
1922617729 | Synergymd, LLC | Dermatology | 1208 E Kennedy Blvd Ste 221, Tampa, FL 33602-3509 | 2020-07-28 |
1518585447 | Alexander F Wong | Dermatology | 1300 Goodlette-frank Rd N, Naples, FL 34102-5243 | 2020-07-07 |
1508495003 | Elite Dermatology | Dermatology | 401 Coral Way Ste 207, Coral Gables, FL 33134-4924 | 2020-04-06 |
1124668371 | Meaghan Margaret Birakis | Dermatology | 3319 Fl-7 #202, Wellington, FL 33449 | 2020-01-15 |
1396380044 | Suzanne Marie Smith | Dermatology | 21097 Ne 27th Ct Ste 500, Miami, FL 33180-1235 | 2019-11-15 |
1376188383 | Enchantress Dermatology, Inc. | Dermatology | 241 Nw 119 Ave, Miami, FL 33182-1329 | 2019-11-13 |
1699319988 | Revivify Dermatology, LLC | Dermatology | 21301 Powerline Rd # 108, Boca Raton, FL 33433-2388 | 2019-10-30 |
1841833928 | Carly Marie Maher | Dermatology | 90 Cypress Way E Ste 50, Naples, FL 34110-9275 | 2019-10-22 |
Find all providers with the same taxonomy |
City | BONITA SPRINGS |
Zip Code | 34135 |
Please comment or provide details below to improve the information on SUZY LEE.
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.