Individual
LISA PANAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
11043 BOSTON DR, HOLLYWOOD, FL 33026-4939
(401) 714-6814
Mailing address
11043 BOSTON DR, HOLLYWOOD, FL 33026-4939
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
06/17/2026
Last updated
06/17/2026
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