Organization
LISSETTE SELEM MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISSETTE SALEM MD (PHYSICIAN/PRESIDENT)
(305) 251-3391
Entity
Organization
Contact information
Practice address
922 N KROME AVE, HOMESTEAD, FL 33030-4409
(786) 504-8070
(786) 504-8073
Mailing address
922 N KROME AVE, HOMESTEAD, FL 33030-4409
(786) 504-8070
(786) 504-8073
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
ACN321
FL
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
06/05/2014
Last updated
10/09/2020
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