Organization
LISETTE NOGUES MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISETTE NOGUES MD (PRESIDENT)
(305) 412-4545
Entity
Organization
Contact information
Practice address
8525 SW 92ND ST, SUITE D 16, MIAMI, FL 33156-7365
(305) 412-4545
(786) 242-6679
Mailing address
11800 SW 87TH AVE, MIAMI, FL 33176-4307
(305) 412-4545
(786) 242-6679
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME0045561
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
267082800
—
FL
Enumeration date
07/13/2007
Last updated
03/15/2012
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