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Dr. Lee G Theophelis, MD
Plastic and Reconstructive Surgery Physician in Melbourne, Florida
NPI 1861448318

Lee G Theophelis is a Plastic and Reconstructive Surgery Physician based in Rockledge, FL and is specialized in Plastic and Reconstructive Surgery. Lee G Theophelis practices in Melbourne, FL and has the professional credentials of MD. The NPI Number for Lee G Theophelis is 1861448318 and holds a License No. ME59792 (Florida).

The current practice location address for Lee G Theophelis is 1350 Hickory St, Melbourne, FL and can be reached out via phone at 321-434-1401 and via fax at 321-434-1667.

Location: 1350 Hickory St, Melbourne, FL, 32955-4306
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861448318
Provider Name
Lee G Theophelis
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1350 Hickory St, Melbourne, FL, 32955-4306
Phone Number
321-434-1401
Fax Number
321-434-1667
Provider Enumeration Date
05/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
18869W 01 FL FL MEDICARE
18869V 01 FL FL MEDICARE
372847100 05 FL
institution
Provider Business Practice Location Address Details
Address
1350 Hickory St
City
Melbourne
State
Florida
Zip
32901-3224
Phone Number
321-434-1401
Fax Number
321-434-1667
person
Provider Business Mailing Address Details
Address
1350 Hickory St
City
Melbourne
State
Florida
Zip
32901-3224
Phone Number
321-434-1401
Fax Number
321-434-1667
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
2086S0122X
License No.
ME59792 (Florida)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Trauma Surgery
Taxonomy
2086S0127X
License No.
ME59792 (Florida)
Definition
Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.
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