Individual
JALISA LASHAE CARVALHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
201 E SAMPLE RD, DEERFIELD BEACH, FL 33064-3502
(954) 786-6920
Mailing address
1801 W SAMPLE RD, DEERFIELD BEACH, FL 33064-1369
(954) 486-4085
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME167371
FL
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
ME167371
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/19/2020
Last updated
11/26/2024
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