| Lisa Edgerton Do Pa | |
|
114 Ne 107th St Miami Shores FL 33161-7032 | |
| (786) 390-8684 | |
| (305) 654-5270 |
| Full Name | Lisa Edgerton Do Pa |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 114 Ne 107th St, Miami Shores, Florida |
| Authorized Official Name and Position | Lisa M Edgerton (PRESIDENT) |
| Authorized Official Contact | 7863908684 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Edgerton Do Pa 114 Ne 107th St Miami Shores FL 33161-7032 Ph: (786) 390-8684 | Lisa Edgerton Do Pa 114 Ne 107th St Miami Shores FL 33161-7032 Ph: (786) 390-8684 |
| NPI Number | 1366615254 |
|---|---|
| Provider Enumeration Date | 04/11/2008 |
| Last Update Date | 04/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366615254 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | OS 8636 (Florida) | Primary |
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