Individual
CARLOS ALBERTO LISTA ENSENAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
27455 S DIXIE HWY, HOMESTEAD, FL 33032-8231
(305) 245-3247
Mailing address
1000 NW 57TH CT STE 400, MIAMI, FL 33126-3292
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME109021
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME109021
FL DEPT OF HEALTH
FL
Enumeration date
01/08/2008
Last updated
12/22/2025
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