Individual
CARMEN LILIANA ISACHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
515 W 6TH ST, JACKSONVILLE, FL 32206-4324
(904) 253-1040
(904) 253-1931
Mailing address
653 W 8TH ST # L14, JACKSONVILLE, FL 32209-6511
(904) 244-7514
(904) 244-5650
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME122625
FL
207RI0200X
Infectious Disease Physician
Primary
ME122625
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/20/2010
Last updated
03/10/2017
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