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Louis Carlisle, PA
Surgical Physician Assistant in Hollywood, Florida
NPI 1023020310

Louis Carlisle is a Surgical Physician Assistant based in Miramar, FL and is specialized in Surgical. Louis Carlisle practices in Hollywood, FL and has the professional credentials of PA. The NPI Number for Louis Carlisle is 1023020310 and holds a License No. PA2315 (Florida).

The current practice location address for Louis Carlisle is 1150 N 35Th Ave Ste 440, Hollywood, FL and can be reached out via phone at 954-987-2020 and via fax at 954-987-2953.

Location: 1150 N 35Th Ave Ste 440, Hollywood, FL, 33025-3925
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023020310
Provider Name
Louis Carlisle
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
1150 N 35Th Ave Ste 440, Hollywood, FL, 33025-3925
Phone Number
954-987-2020
Fax Number
954-987-2953
Provider Enumeration Date
08/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
291116700 05 FL
institution
Provider Business Practice Location Address Details
Address
1150 N 35Th Ave Ste 440
City
Hollywood
State
Florida
Zip
33021-5430
Phone Number
954-987-2020
Fax Number
954-987-2953
person
Provider Business Mailing Address Details
Address
1150 N 35Th Ave Ste 440
City
Hollywood
State
Florida
Zip
33021-5430
Phone Number
954-987-2020
Fax Number
954-987-2953
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
PA2315 (Florida)
Definition
Definition to come...
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