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Lisa Edgerton Do Pa
Adult Medicine Physician in Miami Shores, Florida
NPI 1366615254

Lisa Edgerton Do Pa is an Adult Medicine Physician based in Miami Shores, FL and is specialized in Adult Medicine. Lisa Edgerton Do Pa practices in Miami Shores, FL. The NPI Number for Lisa Edgerton Do Pa is 1366615254 and holds a License No. OS 8636 (Florida).

The current practice location address for Lisa Edgerton Do Pa is 114 Ne 107Th St, Miami Shores, FL and can be reached out via phone at 786-390-8684 and via fax at 305-654-5270.

Location: 114 Ne 107Th St, Miami Shores, FL, 33161-7032
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1366615254
Provider Name
Lisa Edgerton Do Pa
Credential
Provider Entity Type
Organization
Address
114 Ne 107Th St, Miami Shores, FL, 33161-7032
Phone Number
786-390-8684
Fax Number
305-654-5270
Provider Enumeration Date
04/11/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
114 Ne 107Th St
City
Miami Shores
State
Florida
Zip
33161-7032
Phone Number
786-390-8684
Fax Number
305-654-5270
person
Provider Business Mailing Address Details
Address
114 Ne 107Th St
City
Miami Shores
State
Florida
Zip
33161-7032
Phone Number
786-390-8684
Fax Number
305-654-5270
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
207QA0505X
License No.
OS 8636 (Florida)
Definition
Definition to come.
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