Individual
LISA MARIE DORTO FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAA
Contact information
Practice address
1901 SW 172ND AVE, MIRAMAR, FL 33029
(954) 538-4600
(954) 538-4615
Mailing address
7700 W SUNRISE BLVD, PLANTATION, FL 33322-4113
(720) 462-5373
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA63
FL
Other
Enumeration date
09/15/2010
Last updated
03/29/2021
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