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EDGEWATER INTERNAL MEDICINE ASSOC. INC. NPI 1518938372


NPI Information

NPI: 1518938372
Provider Name: EDGEWATER INTERNAL MEDICINE ASSOC. INC.

Former Legal Business Name: LESLIE M LEE MD

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
2568 S. RIDGEWOOD AVE
SUITE 5
EDGEWATER, FL
ZIP 32141
Phone: (386) 428-4640
Get Directions

EDGEWATER INTERNAL MEDICINE ASSOC. INC. is an internal medicine in Edgewater, FL. The provider is 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. EDGEWATER INTERNAL MEDICINE ASSOC. INC. NPI is 1518938372. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Leslie M Lee Md.

The provider's business location address is:

2568 S. RIDGEWOOD AVE
SUITE 5
EDGEWATER, FL
ZIP 32141-535
Phone: (386) 428-4640
Fax: (386) 426-1409

The provider's authorized official is Leslie Manuel Lee .
The authorized official title is President Owner and has the following contact phone number (386) 428-4640.

The enumeration date for this NPI number is 1/30/2006 and was last updated on 8/4/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineME0063341FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
123541OTHERBCBS
2F69008MEDICARE UPIN
3K7444MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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