Individual
DARVIS EDUARDO DAGER LISSABET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2621 CLEVELAND AVE, FORT MYERS, FL 33901-5802
(787) 658-0200
(787) 658-0640
Mailing address
9121 W SUNRISE BLVD, PLANTATION, FL 33322-5273
(954) 624-5155
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
1654
FL
208D00000X
General Practice Physician
16810
PR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/03/2023
Last updated
08/26/2024
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