Organization
LISETTE PORTES MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISETTE PORTES MD (MEDICAL DIRECTOR)
(305) 332-9821
Entity
Organization
Contact information
Practice address
9995 SW 72ND ST STE 202, MIAMI, FL 33173-4662
(305) 332-9821
(305) 356-4048
Mailing address
3115 SW 98TH CT, MIAMI, FL 33165-2954
(305) 332-9821
(305) 356-4048
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/29/2021
Last updated
09/29/2021
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