Individual provider Active NPI

Frank G Lee, M.D.

  • Dermatology Physician
  • Palm Bay, FL
National Provider Identifier
1447238787
Registry record updated Sep 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME45288 Issued in FL
Practice address
5070 Minton Rd NW
Suite 5
Palm Bay, FL 32907-1157
Phone
(321) 768-1600
Fax
(321) 799-4903
NPI assigned
Jan 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME425288 FL
Dermatology Physician 207N00000X ME45288 FL Primary

Addresses

Primary practice location

5070 Minton Rd NW
Suite 5
Palm Bay, FL 32907-1157

Mailing address

5070 Minton Rd NW
Suite 3a
Palm Bay, FL 32907-1157
Phone (321) 768-1600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME425288FLMDSpecialist
ME45288FLMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Dermatology Associates Inc CurrentSince Jan 6, 2010 Accepting new patients

Locations

4260 N US Highway 1
Cocoa, FL 32927
Phone (321) 768-1600

5070 Minton Rd NW
#3A
Palm Bay, FL 32907

5070 Minton Rd NW
Ste 3A
Palm Bay, FL 32907

5070 Minton Rd NW
Ste 5
Palm Bay, FL 32907
Phone (321) 768-1600

500 N Washington Ave
Ste 109
Titusville, FL 32796
Phone (321) 768-1600

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380240000000",
    "number": "1447238787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5070 MINTON RD NW",
            "address_2": "SUITE 3A",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329071157",
            "telephone_number": "321-768-1600",
            "fax_number": "321-799-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5070 MINTON RD NW",
            "address_2": "SUITE 5",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329071157",
            "telephone_number": "321-768-1600",
            "fax_number": "321-799-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "FRANK",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2013-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME425288",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME45288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.