TSE CHUNG LEE, M.D., PL
Physical Therapy at Clyde Morris Blvd, Daytona Beach, FL

License number
Florida 102935
Category
Medical Practice
Type
Physical Medicine & Rehabilitation
Owner
Name: TSE CHUNG LEE M.D.
Title: OWNER
Phone: (419) 787-5001
Address
Address 2
1671 N Clyde Morris Blvd STE 100, Daytona Beach, FL 32117
1551 Crowne View Dr #818, Ormond Beach, FL 32174
National Provider ID: 1629309893
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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TSE CHUNG LEE, M.D. PL

Daytona Beach, FL  -  Ormond Beach, FL

Doing business as:
Tse Lee MD
Registration:
Dec 9, 2009
Phone:
(386) 274-2977 (Phone)
Addresses:
1671 N Clyde Morris Blvd SUITE 100, Daytona Beach, FL 32117 (Physical)
437 N Bch St, Ormond Beach, FL 32174 (Mailing)
1551 Crowne Vw Dr, Ormond Beach, FL 32174
State ID:
L09000117412
Business type:
Florida Limited Liability Company
Manager:
Tse Chung M.d. Lee (Manager), 1671 N Clyde Morris Blvd SUITE 100, Daytona Beach, FL 32117 (Physical)
Agent:
Tse Cm.d. Lee,437 N Bch St, Ormond Beach, FL 32174 (Physical)
EIN:
27-1475291

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