Individual
DR. MEL TIMTIMAN LIZASO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1095 NW SAINT LUCIE WEST BLVD, PORT ST LUCIE, FL 34986-1719
(772) 288-5890
Mailing address
1095 NW SAINT LUCIE WEST BLVD, PORT ST LUCIE, FL 34986-1719
(772) 785-5588
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
ME169611
FL
Other
Enumeration date
03/21/2019
Last updated
08/07/2024
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