Individual
LISA BASILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
3401 PGA BLVD, SUITE 500, PALM BEACH GARDENS, FL 33410-2823
(561) 694-7776
(561) 776-8486
Mailing address
3401 PGA BLVD, SUITE 500, PALM BEACH GARDENS, FL 33410-2823
(561) 694-7776
(561) 776-8486
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN1458162
FL
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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