| Lisa Edgerton | |
|
114 Ne 107th St Miami Shores FL 33161-7032 | |
| (305) 629-2669 | |
| (305) 981-2095 |
| Full Name | Lisa Edgerton |
|---|---|
| Speciality | Internal Medicine |
| Location | 114 Ne 107th St, Miami Shores, Florida |
| Authorized Official Name and Position | Lisa Edgerton (OWNER) |
| Authorized Official Contact | 3056292669 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Edgerton 114 Ne 107th St Miami Shores FL 33161-7032 Ph: (305) 629-2669 | Lisa Edgerton 114 Ne 107th St Miami Shores FL 33161-7032 Ph: (305) 629-2669 |
| NPI Number | 1801010657 |
|---|---|
| Provider Enumeration Date | 04/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801010657 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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