Individual
LISSETTE PAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1096
(305) 585-6567
Mailing address
8481 DUNDEE TER, MIAMI LAKES, FL 33016-1406
(786) 395-5958
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
11014953
FL
Other
Enumeration date
08/19/2021
Last updated
08/19/2021
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