Tamara Liss Md Pa | |
801 Meadows Rd Suite 103 Boca Raton FL 33486-2346 | |
(561) 347-9044 | |
(561) 347-9043 |
Full Name | Tamara Liss Md Pa |
---|---|
Speciality | Internal Medicine |
Location | 801 Meadows Rd, Boca Raton, Florida |
Authorized Official Name and Position | Tamara Liss (OWNER) |
Authorized Official Contact | 5613479044 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Tamara Liss Md Pa Po Box 273253 Boca Raton FL 33427-3253 Ph: (561) 347-9044 | Tamara Liss Md Pa 801 Meadows Rd Suite 103 Boca Raton FL 33486-2346 Ph: (561) 347-9044 |
NPI Number | 1023273489 |
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Provider Enumeration Date | 07/25/2008 |
Last Update Date | 09/04/2008 |
Medicare PECOS PAC ID | 2264508076 |
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Medicare Enrollment ID | O20080902000375 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023273489 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Tamara Liss |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1144311432 PECOS PAC ID: 5395823629 Enrollment ID: I20080426000037 |
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