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Nicki Lee

NPI 1669960852 · on the registry since 2018 · sole proprietor

Practice

Address
22 E Wilt Ave
Eustis, FL 32726
Phone
(352) 589-5113
Fax
(352) 589-7320
Organisation at this address
Classy Caddy, Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
343900000X
343900000X
Also registered as
343900000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-04-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida