Individual
DANA T LISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
789 S FEDERAL HWY, FORT LAUDERDALE, FL 33316-1218
(954) 315-5784
(954) 522-0755
Mailing address
900 S PINE ISLAND RD, SUITE 800, PLANTATION, FL 33324-3920
(954) 493-6496
(954) 493-6726
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
OS14229
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018700800
—
FL
Enumeration date
11/03/2005
Last updated
01/28/2022
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