Individual
LISA MARIE PACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
653-1 WEST 8TH STREET, 4TH FLOOR, LRC BOX L15, JACKSONVILLE, FL 32209
(904) 633-4199
(904) 633-4188
Mailing address
653-1 WEST 8TH STREET, 4TH FLOOR, LRC BOX L16, JACKSONVILLE, FL 32209
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME160617
FL
Other
Enumeration date
03/24/2020
Last updated
06/12/2024
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