# MRS. FLOR MARITZA LLISO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1346222569
- **Gender:** F
- **Credential:** P.A.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 183500000X | GA | Yes |

## Other

- **Enumeration date:** 11/15/2005
- **Last updated:** 05/08/2015