1720469026

Everything you always wanted to know about BALFE MARIE LISA PA-C but were afraid to ask.

BALFE MARIE LISA PA-C

You can also download the this 1720469026 data report as csv | excel | json | xml
Provider Last Name Provider Middle Name Provider First Name Provider Credential
BALFE MARIE LISA PA-C
Gender:
Female
Enumeration date:
2015-06-11
Last update date:
2016-04-21
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
Yes
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Identifiers

identifier description issuer state

Taxonomies

Taxonomy State License Number Primary?
363AM0700X Medical FL PA9108585 Y

Phone Numbers

Type Number
Mailing Address Telephone Number 3052434664
Practice Location Address Telephone Number 3052434664

Addresses

Type Address City State Postal Country
Mailing Address 1475 NW 12TH AVE MIAMI FL 0 FL
Practice Location Address 1475 NW 12TH AVE MIAMI FL 0 FL

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Individual
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Organization
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