Individual
MR. JOSE LUIS LIZARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2330 NORTH BLVD W, DAVENPORT, FL 33837-8989
(407) 931-0444
(407) 962-4446
Mailing address
PO BOX 44008, UFJP WINTER HAVEN, JACKSONVILLE, FL 32231-4008
(904) 244-3199
(904) 244-3425
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA3731
FL
Other
Enumeration date
02/03/2006
Last updated
01/17/2025
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