Organization
LISSETTE D CORTAZAR MDPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISSETTE D CORTAZAR MD (PRESIDENT)
(786) 205-4066
Entity
Organization
Contact information
Practice address
3661 S MIAMI AVE STE 402, MIAMI, FL 33133-4230
(305) 815-0055
(347) 493-3512
Mailing address
3661 S MIAMI, SUITE 402, MIAMI, FL 33133-4330
(305) 815-0055
(347) 493-3512
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
11/08/2018
Last updated
06/10/2020
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