Individual
ANA LIZETH CALIXTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12309 PEMBROKE RD, PEMBROKE PINES, FL 33025-1723
(954) 432-6595
Mailing address
21190 SW 234TH ST, HOMESTEAD, FL 33031-1044
(786) 416-5760
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9116581
FL
Other
Enumeration date
11/11/2022
Last updated
02/05/2024
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