Individual
LISA REALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8900 N KENDALL DR, MIAMI CANCER INSTITUTE, MIAMI, FL 33176-2118
(786) 596-2000
Mailing address
9350 SUNSET DR, STE 200, MIAMI, FL 33173-3245
(786) 594-4210
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
ME 99408
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
281315700
—
FL
Enumeration date
04/22/2008
Last updated
01/30/2022
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