DERRICK TAK LEE PMD FPC NPI 1619762770

NPI Information

  • NPI: 1619762770
  • Provider Name: DERRICK TAK LEE, PMD, FPC
  • Classification: Emergency Medicine - 207PE0004X
  • Specialization: Emergency Medical Services
  • Entity Type: Individual
  • Address: 2390 N AIRPORT RD
    FORT MYERS, FL
    ZIP 33907
  • Phone: (561) 436-0004

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NPI Details

Derrick Tak Lee, PMD, FPC is an emergency medical services emergency medicine in Fort Myers, FL. The provider is an emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. Derrick Tak Lee, PMD, FPC NPI is 1619762770. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2390 N AIRPORT RD
FORT MYERS, FL
ZIP 33907-426
Phone: (561) 436-0004

The enumeration date for this NPI number is 4/10/2025 and was last updated on 4/10/2025.

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
1207PE0004XEmergency MedicineEmergency Medical ServicesPMD520178FLORIDAYes

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: 11/21/2025

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