Individual
DR. MIGUEL LIS-PLANELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7315 HUDSON AVE, HUDSON, FL 34667-1158
(727) 868-9563
(727) 869-6909
Mailing address
PO BOX 5515, HUDSON, FL 34674-5515
(727) 868-9563
(727) 869-6909
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
4301062572
MI
207T00000X
Neurological Surgery Physician
4301062572
MI
207T00000X
Neurological Surgery Physician
Primary
ME124772
FL
208D00000X
General Practice Physician
4301062572
MI
Other
Enumeration date
09/27/2005
Last updated
10/23/2015
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