Organization
DR. LISA PT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA FERNANDEZ DPT (AMBR)
(305) 467-9421
Entity
Organization
Contact information
Practice address
1080 99TH ST APT 221, BAY HARBOR ISLANDS, FL 33154-1754
(305) 467-9421
Mailing address
1080 99TH ST APT 221, BAY HARBOR ISLANDS, FL 33154-1754
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
06/15/2022
Last updated
08/23/2022
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