Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | P21416 | MD |
Y | 2080P0207X | Pediatric Hematology-Oncologist | ME115288 | FL |
NPI | 1992857189 |
---|---|
Provider Name | Calvin K Lee |
First Address | Tampa, FL 33602-3504 |
Second Address | St Petersburg, FL 33701-4804 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/01/2007 |
Last Update Date | 04/09/2013 |