Individual
MS. LISA SOOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 MAPLEWOOD DR, GREENACRES, FL 33415-1423
(561) 312-8265
Mailing address
1801 MAPLEWOOD DR, GREENACRES, FL 33415-1423
(561) 312-8265
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA19408
FL
Other
Enumeration date
09/28/2012
Last updated
09/28/2012
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