Organization
CARLOS ALBERTO LISTA-ENSENAT MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS A LISTA-ENSENAT MD (OWNER)
(786) 237-3070
Entity
Organization
Contact information
Practice address
12320 QUAIL ROOST DR, MIAMI, FL 33177-4930
(786) 237-3070
(786) 430-8198
Mailing address
12320 QUAIL ROOST DR, MIAMI, FL 33177-4930
(786) 237-3070
(786) 430-8198
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME109021
FL
Other
Enumeration date
04/05/2012
Last updated
11/29/2016
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