Individual
LISA MACHADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9580 SW 107TH AVE, MIAMI, FL 33176-2789
(305) 381-0442
(305) 456-0865
Mailing address
9580 SW 107TH AVE STE 203, MIAMI, FL 33176-2792
(305) 381-0442
(305) 456-0865
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME74277
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
260854500
—
FL
01
—
322421
WELLCARE
FL
01
—
43956
BCBS
FL
Enumeration date
06/14/2006
Last updated
08/29/2023
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