Lisiane Fidalgo, is a
Student In An Organized Health Care Education/training Program based in Sarasota, Florida. Lisiane Fidalgo is licensed to practice in Florida (license number ) and her current practice location is
8618 Palmer Park Cir, Sarasota, Florida. She can be reached at her office (for appointments etc.) via phone at
(617) 953-8077.
NPI number for Lisiane Fidalgo is 1891353090 and her current mailing address is 8618 Palmer Park Cir, Sarasota, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1891353090.
Healthcare Provider's Profile
| Full Name | Lisiane Fidalgo |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 8618 Palmer Park Cir, Sarasota, Florida |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1891353090
- Provider Enumeration Date: 06/03/2019
- Last Update Date: 05/07/2024
Medical Identifiers
Medical identifiers for Lisiane Fidalgo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891353090 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | MH20225 (Florida) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lisiane Fidalgo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Lisiane Fidalgo,
8618 Palmer Park Cir,
Sarasota, FL 34238-2405
Ph: (617) 953-8077 | Lisiane Fidalgo,
8618 Palmer Park Cir,
Sarasota, FL 34238-2405
Ph: (617) 953-8077 |
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