GRACE HYEIWON LEE


Address: 3515 E Fletcher Ave, Tampa, FL 33613
Phone: 8139742201

GRACE HYEIWON LEE (NPI# 1801214002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801214002
Entity Type Individual
Full Name GRACE HYEIWON LEE
Credential D.O.
Practice Address 3515 E Fletcher Ave
Tampa
FL 33613
Mailing Address Po Box 917770
Orlando
FL 32891-0001
Practice Telephone 8139742201
Practice Fax Number 8139744325
Enumeration Date 2014-04-03
Last Update Date 2019-08-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
OS15548 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 103371000 05
FL BLUE CROSS BLUE SHIELD 17S9E 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
17 Davis Blvd, Suite 308, Tampa, FL 336063475 8139742805 8139742478
3515 E Fletcher Ave, Tampa, FL 336134706 8139742201 8139744325

Other Providers GRACE LEE

NPI Name Taxonomy Address Enumeration
1053827980 Grace J Lee Pharmacist 6423 217th St, Oakland Gardens, NY 11364-2235 2017-12-14
1043664360 Grace Eugene Lee Behavioral Analyst 14510 Ne 20th St, #203, Bellevue, WA 98007-3715 2016-04-22
1114386547 Grace Eun Lee Marriage & Family Therapist 24941 Overland Dr, Laguna Hills, CA 92653-5077 2016-02-12
1932580743 Grace Lee Family Medicine 7474 N Grand Pkwy W, Spring, TX 77379-1570 2015-06-17
1639561954 Grace E Lee Counselor 2 Maria Ct, Holmdel, NJ 07733-2748 2015-02-24
1184054058 Grace Eunah Lee Dentist 11016 Via Del Corso, Riverside, CA 92505-2384 2013-11-13
1205274776 Grace T Lee Chiropractor 10500 Northwest Fwy Ste 110, Houston, TX 77092-8208 2013-06-06
1568776151 Grace Lee Optometrist 20 City Blvd W Ste 919, Orange, CA 92868-3115 2010-08-06
1740424852 Grace Lee Occupational Therapist 20904 28th Rd, Bayside, NY 11360-2413 2009-04-21
1316196033 Grace P. Lee Psychologist 115 E 57th Street, Suite 640, New York, NY 10022-4030 2008-09-17

Office Location

Street Address 3515 E FLETCHER AVE
City TAMPA
State FL
Zip Code 33613

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508856261 David Newman Physical Therapist 3515 E Fletcher Ave, Mdc 90, Tampa, FL 33613-4706 2005-10-25
1932746328 Kimberly Ann Knap Psychologist 3515 E Fletcher Ave, Tampa, FL 33613-4706 2019-12-04
1932624194 Karie Suzanne John Behavior Technician 3515 E Fletcher Ave, Tampa, FL 33613-4706 2017-08-09
1164974366 University Medical Service Association Inc Assistant Behavior Analyst 3515 E Fletcher Ave, Tampa, FL 33613-4706 2016-11-04
1528492857 Brian E Bunnell Psychologist 3515 E Fletcher Ave, Tampa, FL 33613-4706 2013-08-22
1104168855 Christina Mary Martin Psychiatry & Neurology 3515 E Fletcher Ave, Tampa, FL 33613-4706 2013-03-20
1467707059 Amanda Lynn Walker Social Worker 3515 E Fletcher Ave, Mdc 14, Tampa, FL 33613-4702 2012-07-19
1043598014 Brittany Dawn Zern Psychologist 3515 E Fletcher Ave, Mdc 14, Tampa, FL 33613-4702 2011-07-25
1861789521 Thea Rosanna Moore Pharmacist 3515 E Fletcher Ave, Tampa, FL 33613-4702 2011-07-01
1013207240 Alexis N. Cohen-oram Psychiatry & Neurology 3515 E Fletcher Ave, Tampa, FL 33613-4706 2011-04-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649877671 Lisandra Isabelle Raba Behavior Technician 3299 Usf Banyan Circle, Tampa, FL 33613 2020-10-02
1184250490 Stetho Md LLC Family Medicine 1707 E Bearss Ave, Tampa, FL 33613 2020-03-18
1174187645 Renee Pinheiro Student in an Organized Health Care Education/Training Program Usf Health Morsani College of Medicine, 12901 Bruce B Downs Blvd. Mdc5, Tampa, FL 33613 2019-04-30
1104388842 Heartbeat Home Health Care LLC Home Health 13542 N Florida Ave Ste 209-b, Tampa, FL 33613 2019-04-02
1437625357 Carierx LLC Pharmacy 15511 N. Florida Avenue, Ste 601, Tampa, FL 33613 2018-10-18
1205312980 Sabina Vlaeva Dentist Affordable Dentures & Implants, 14936 N Florida Avenue Ste 101, Tampa, FL 33613 2018-07-16
1780170266 Joy M. Alexander Driver 14209 Cyber Pl Apt 102, Tampa, FL 33613 2018-07-08
1598289829 Lillian Perez Social Worker 13542 N Florida Avenue, Suite 210, Tampa, FL 33613 2017-07-28
1134640386 Walgreen Co Durable Medical Equipment & Medical Supplies 3100 E Fletcher Ave Ste A165, Tampa, FL 33613 2017-06-28
1770016099 Marcus Bruno Physician Assistant 13701 Bruce B Downs Blvd., Tampa, FL 33613 2017-04-04
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Taxonomy Information

Taxonomy Code 2084P0800X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Psychiatry

Taxonomy Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043776859 Ann Park Psychiatry & Neurology 1002b S Church Ave # 320056, Tampa, FL 33629-5018 2019-02-17
1730652645 South Tampa Psychiatry Psychiatry & Neurology 2919 W Swann Ave Ste 104, Tampa, FL 33609-4049 2019-01-03
1902393069 Tampa Bay Center for Psychological Health Psychiatry & Neurology 14924 Casey Rd Unit 3b, Tampa, FL 33624-2317 2018-04-15
1508222324 Behavioral Health Science of West Florida, LLC Psychiatry & Neurology 508 S Habana Ave Ste 380, Tampa, FL 33609-4144 2016-01-08
1912249228 Scott Edward Nelson Psychiatry & Neurology 3515 E Fletcher Ave # 14, Tampa, FL 33613 2013-03-25
1649533787 Sumaira Fayyaz Khan Md LLC Psychiatry & Neurology 18022 Cozumel Isle Dr, Tampa, FL 33647-3373 2012-06-22
1225355340 Chetan P Gandhy Psychiatry & Neurology 13330 Usf Laurel Dr., Tampa, FL 33612-4742 2010-04-29
1396060174 Shirrin Ahmadi-davis Psychiatry & Neurology 2727 W Mlk Blvd, Suite 640, Tampa, FL 33607-6383 2010-04-05
1104141423 Pragneshkumar P Patel Psychiatry & Neurology 613 W Dr Martin Luther King Jr Blvd Ste 102, Tampa, FL 33603-3400 2010-03-30
1497081624 Nancy Dinwoodie Psychiatry & Neurology 3515 Heards Ferry Dr, Tampa, FL 33618-2922 2009-10-22
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Competitor

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City TAMPA
Zip Code 33613

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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