Organization
MEMORIAL MEDICAL GROUP OF SOUTH FLORIDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA B MARSHALL MPAS, PA-C (OWNER)
(754) 273-0885
Entity
Organization
Contact information
Practice address
15800 PINES BLVD STE 325, PEMBROKE PINES, FL 33027-1212
(754) 273-0885
(866) 610-8782
Mailing address
16000 PINES BOULEVARD, #822503, PEMBROKE PINES, FL 33082-2503
(754) 273-0885
(866) 610-8782
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
08/10/2020
Last updated
04/28/2025
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