Individual
DR. LISSETTE SELEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICIAN/MD
Contact information
Practice address
5803 NW 151 ST, SUITE 101, MIAMI LAKES, FL 33014-2473
(305) 696-8802
(305) 696-8156
Mailing address
5803 NW 151 ST, SUITE 101, MIAMI LAKES, FL 33014-2473
(305) 696-8802
(305) 696-8156
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
14764
PR
2084P0800X
Psychiatry Physician
Primary
ME128650
FL
Other
Enumeration date
06/18/2007
Last updated
11/04/2020
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