| Doctor Name: | MR. LEE E BRANSFORD |
| NPI Number: | 1053515841 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RCIS |
| License Number: | |
| Business Practice Address: | 5112 Foliage Way St Augustine, FL - 320923621 |
| Business Phone Number: | 9046258388 |
| Business Fax Number: | |
| Mailing Address: | 5112 Foliage Way, ST AUGUSTINE |
| State: | FL |
| Postal Code: | 320923621 |
| Phone Number: | 9046258388 |
| Fax Number: | |
| NPI Enumeration Date: | 06/13/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 246XC2901X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Spec/Tech, Cardiovascular |
| Taxonomy Specialization: | Cardiovascular Invasive Specialist |
| Taxonomy Definition: | |