Frank G Lee (NPI# 1447238787, PAC ID# 5092767475) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1447238787 |
| PAC ID by PECOS | 5092767475 |
| Professional Enrollment ID | I20050214000629 |
| Full Name | Frank G Lee |
| Organization Legal Name | FLORIDA DERMATOLOGY ASSOCIATES INC |
| Address |
500 N Washington Ave Suite 109 Titusville FL 32796-2759 |
| Phone Number | 3217681600 |
| Gender | M |
| Credential | MD |
| Medical School | ILLINOIS MEDICAL COLLEGE |
| Graduation Year | 1979 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 1557269982 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100019 | HOLMES REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4260 N Us Hwy 1, Cocoa, FL 32927-5919 | 3212646266 | FLORIDA DERMATOLOGY ASSOCIATES INC |
| 500 N Washington Ave, Suite 109, Titusville, FL 32796-2759 | 3217681600 | FLORIDA DERMATOLOGY ASSOCIATES INC |
| Organization Legal Name | FLORIDA DERMATOLOGY ASSOCIATES INC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert M Taylor | Dermatology | Florida Dermatology Associates Inc | 80 Woodland Ave, Cocoa Beach, FL 32931-2854 |
| James M Magill | Pathology | Florida Dermatology Associates Inc | 5070 Minton Rd Nw, Suite 5, Palm Bay, FL 32907-1157 |
| Jeanette M Gluck | Physician Assistant | Florida Dermatology Associates Inc | 500 N Washington Ave, Suite 109, Titusville, FL 32796-2759 |
| Laura A Dijerome | Nurse Practitioner | Florida Dermatology Associates Inc | 500 N Washington Ave, Suite 109, Titusville, FL 32796-2759 |
| Ruben Antenor Moreno | Dermatology | Florida Dermatology Associates Inc | 5070 Minton Rd Nw, Suite 5, Palm Bay, FL 32907-1157 |
| Marina Omarov | Physician Assistant | Florida Dermatology Associates Inc | 5070 Minton Rd Nw, Suite 5, Palm Bay, FL 32907-1157 |
| Anthony A Moreno | Physician Assistant | Florida Dermatology Associates Inc | 5070 Minton Rd Nw, Suite 5, Palm Bay, FL 32907-1157 |
| Helen G Turk | Physician Assistant | Florida Dermatology Associates Inc | 5070 Minton Rd Nw, Suite 5, Palm Bay, FL 32907-1157 |
| Street Address |
500 N WASHINGTON AVE SUITE 109 |
| City | TITUSVILLE |
| State | FL |
| Zip | 32796-2759 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeanette M Gluck | Physician Assistant | Florida Dermatology Associates Inc | 500 N Washington Ave, Suite 109, Titusville, FL 32796-2759 |
| Laura A Dijerome | Nurse Practitioner | Florida Dermatology Associates Inc | 500 N Washington Ave, Suite 109, Titusville, FL 32796-2759 |
| Richard Lynn Wurzler | Chiropractic | 500 N Washington Ave, 204 Titusville Total Healthcare, Titusville, FL 32796-2759 | |
| Joel L Adams | Pulmonary Disease | 500 N Washington Ave, Suite 100, Odessa, TX 79761-4441 | |
| Mark Tonkins | Physical Therapy | 500 N Washington Ave, Suite 107, Titusville, FL 32796-2759 | |
| Kiran R Modi | Cardiovascular Disease (cardiology) | 500 N Washington Ave, Suite 106, Titusville, FL 32796-2759 | |
| Anita D Spitz | Family Medicine | 500 N Washington Ave, Suite 103, Titusville, FL 32796-2759 | |
| Sami K Salib | Urology | 500 N Washington Ave, Suite 206, Titusville, FL 32796-2759 | |
| David B Mcmahon | Cardiovascular Disease (cardiology) | 500 N Washington Ave, Suite 202, Titusville, FL 32796-2756 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah Slone | Nurse Practitioner | Moore Medical Group Inc | 2355 Truman Scarborough Way, Palm Point Behavioral Health, Titusville, FL 32796-1310 |
| Eric A Moore | Family Medicine | Moore Medical Group Inc | 2355 Truman Scarborough Way, Palm Point Behavioral Health, Titusville, FL 32796-1310 |
| Mayra A Abelleira Martinez | Psychiatry | 2355 Truman Scarborough Way, Attn Cfo, Titusville, FL 32796-1310 | |
| Ismael A Beloso | Family Medicine | Moore Medical Group Inc | 2355 Truman Scarborough Way, Palm Point Behavioral Health, Titusville, FL 32796-1310 |
| Charles Ikegwuonu | Nurse Practitioner | Moore Medical Group Inc | 2355 Truman Scarborough Way, Palm Point Behavioral Health, Titusville, FL 32796-1310 |
| Laura Kn Powell | Nurse Practitioner | Moore Medical Group Inc | 2355 Truman Scarborough Way, Palm Point Behavioral Health, Titusville, FL 32796-1310 |
| Debra Kay Allen | Nurse Practitioner | Indian River Medical Office Pa | 3300 Dairy Rd, Titusville, FL 32796-1512 |
| Aluino L Ochoa | Internal Medicine | Indian River Medical Office Pa | 3300 Dairy Rd, Titusville, FL 32796-1512 |
| Cheryl M Gardner | Nurse Practitioner | Indian River Medical Office Pa | 3300 Dairy Rd, Titusville, FL 32796-1512 |
| Kimberly E Lundquist | Nurse Practitioner | Indian River Medical Office Pa | 3300 Dairy Rd, Titusville, FL 32796-1512 |
| Find all physicians in zip 32796 | |||
| City | TITUSVILLE |
| Zip Code | 32796 |
| Specialty | DERMATOLOGY |
| City + Specialty | TITUSVILLE + DERMATOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.