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Organization
TAMARA LISS MD PA
Active
Organization
TAMARA LISS MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA LISS MD (OWNER)
(561) 347-9044
Entity
Organization
Contact information
Practice address
801 MEADOWS RD, SUITE 103, BOCA RATON, FL 33486-2346
(561) 347-9044
(561) 347-9043
Mailing address
PO BOX 273253, BOCA RATON, FL 33427-3253
(561) 347-9044
(561) 347-9043
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/25/2008
Last updated
09/04/2008
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