Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Eunjae Lee, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1093384042

Dr. Eunjae Lee, MD is an Obstetrics/Gynecology in Jacksonville, Florida. Graduated from Temple University School of Medicine in 2021, 5 years ago. Practices with Main Line Healthcare, a 1,153-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida and Pennsylvania.

Years since qualifying
5
Trained at
Temple University School of Medicine
Licensed in
FL, PA
In the registry since
2021
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone: (904) 953-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3121 — (484) 337-4715
  • 100 E Lancaster Ave, Wynnewood, PA 19096-3450 — (484) 476-2000

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence ME178930 (FL)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence MD489423 (PA)

Record details

NPI number1093384042
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 23, 2021
Last updated in NPPESJune 1, 2026
Certification dateJune 1, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolTEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Main Line Healthcare — 1153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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