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Individual
MRS. LISETTE PORTES
Active
Individual
MRS. LISETTE PORTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME142212
FL
225100000X
Physical Therapist
PT 21988
FL
Other
Enumeration date
01/22/2012
Last updated
03/10/2022
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