institution
Lescobar Pa
Specialist in Hollywood, Florida
NPI 1023285152

Lescobar Pa is a Specialist based in Lighthouse Point, FL. Lescobar Pa practices in Hollywood, FL. The NPI Number for Lescobar Pa is 1023285152 and holds a License No. ME58000 (Florida).

The current practice location address for Lescobar Pa is 4440 Sheridan St, Hollywood, FL and can be reached out via phone at 954-322-8586 and via fax at 954-322-8581.

Location: 4440 Sheridan St, Hollywood, FL, 33064-8129
institution
Provider Profile Details
NPI Number
1023285152
Provider Name
Lescobar Pa
Credential
Provider Entity Type
Organization
Address
4440 Sheridan St, Hollywood, FL, 33064-8129
Phone Number
954-322-8586
Fax Number
954-322-8581
Provider Enumeration Date
05/08/2008
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
5059181 01 FL AETNA
12692 01 FL BCBS
3481ASOS 01 FL NHP
institution
Provider Business Practice Location Address Details
Address
4440 Sheridan St
City
State
Zip
33021-3535
Phone Number
954-322-8586
Fax Number
954-322-8581
person
Provider Business Mailing Address Details
Address
4440 Sheridan St
City
State
Zip
33021-3535
Phone Number
954-322-8586
Fax Number
954-322-8581
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
ME58000 (Florida)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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