person
Dr. Juan Alberto Martin Lissabet, MD
General Practice Physician in Lake Wales, Florida
NPI 1649332792

Juan Alberto Martin Lissabet is a General Practice Physician based in Orlando, FL. Juan Alberto Martin Lissabet practices in Lake Wales, FL and has the professional credentials of MD. The NPI Number for Juan Alberto Martin Lissabet is 1649332792 and holds a License No. ACN955 (Florida).

The current practice location address for Juan Alberto Martin Lissabet is 684 State Road 60 W, Lake Wales, FL and can be reached out via phone at 863-949-4868 and via fax at 863-223-8549.

Location: 684 State Road 60 W, Lake Wales, FL, 32821-6027
person
Provider Profile Details
NPI Number
1649332792
Provider Name
Juan Alberto Martin Lissabet
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
684 State Road 60 W, Lake Wales, FL, 32821-6027
Phone Number
863-949-4868
Fax Number
863-223-8549
Provider Enumeration Date
12/15/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
684 State Road 60 W
City
State
Zip
33853-4419
Phone Number
863-949-4868
Fax Number
863-223-8549
person
Provider Business Mailing Address Details
Address
684 State Road 60 W
City
State
Zip
33853-4419
Phone Number
863-949-4868
Fax Number
863-223-8549
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
ACN955 (Florida)
Definition
Definition to come...
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