Individual
LISA MIRANSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8200 W SUNRISE BLVD, # D-6, PLANTATION, FL 33322-5426
(954) 475-1735
(954) 475-1741
Mailing address
8200 W SUNRISE BLVD, # D-6, PLANTATION, FL 33322-5426
(954) 475-1735
(954) 475-1741
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9104870
FL
Other
Enumeration date
06/09/2009
Last updated
06/09/2009
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