Individual
MRS. LISA ROSE IBATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1201 NW 16TH ST, MIAMI, FL 33125-1624
(305) 324-4455
Mailing address
1201 NW 16TH ST, MIAMI, FL 33125-1624
(305) 324-4455
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
ARNP2868232
FL
Other
Enumeration date
10/15/2010
Last updated
10/15/2010
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