Individual
LISSET SIRVEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8900 N KENDALL DR, MIAMI, FL 33176-2118
(786) 596-6743
Mailing address
PO BOX 198054, ATLANTA, GA 30384-1608
(786) 594-6880
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME160689
FL
208M00000X
Hospitalist Physician
Primary
ME160689
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
FL
Other
Enumeration date
04/23/2020
Last updated
04/08/2024
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