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Individual

DR. ALISA SUZANNE PIERCE-KEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4683 VAN DYKE RD, LUTZ, FL 33558-4880
(813) 968-7171
(813) 443-8167
Mailing address
PO BOX 743409, ATLANTA, GA 30374-3409
(727) 532-0002
(727) 532-1325

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME99227
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
278753900
FL
01
81041
BLUE CROSS BLUE SHIELD
FL
Enumeration date
06/13/2007
Last updated
10/06/2015
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