Lisa Edgerton Do Pa in Miami Shores - Adult Medicine
Lisa Edgerton Do Pa - NPI 1366615254
Lisa Edgerton Do Pa is a Adult Medicine in Miami Shores, Florida. Lisa Edgerton Do Pa practices all healthcare services and medical treatments related to Adult Medicine. The NPI Number for Lisa Edgerton Do Pa is 1366615254. The last update date is 2008-04-11.
Lisa Edgerton Do Pa's current location address is 114 Ne 107th St, Miami Shores, Florida. You can contact this provider via phone number 7863908684 and fax number 3056545270. The mailing address for Lisa Edgerton Do Pa is 114 Ne 107th St, Miami Shores, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lisa Edgerton Do Pa |
|---|---|
| Address | 114 Ne 107th St, Miami Shores, Florida |
| Phone Number | 7863908684 |
| Fax Number | 3056545270 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Edgerton M Lisa |
| Credentials | D.O. |
| Telephone Number | 7863908684 |
NPI Number Detail
| NPI Number | 1366615254 |
|---|---|
| Provider Enumeration Date | 2008-04-11 |
| Last Updated Date | 2008-04-11 |
Provider Mailing Address Detail
| Address | 114 Ne 107th St |
|---|---|
| City | Miami Shores |
| State | Florida (FL) |
| Post Code | 331617032 |
| Phone Number | 7863908684 |
| Fax Number | 3056545270 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Medicine |
|---|---|
| Taxonomy | 207Qa0505X |
| Licence No | OS 8636 |
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Definition: The NUCC recommends this code not be used. Choose a more appropriate code. |
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Post Comment/ Review Below
What is the unique identifier code issued to Lisa Edgerton Do Pa by the Centers for Medicare & Medicaid Services?
The Lisa Edgerton Do Pa has been assigned the NPI (National Provider Identifier) 1366615254. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Lisa Edgerton Do Pa is physically located?
The Lisa Edgerton Do Pa is situated at the following address: 114 Ne 107Th St, Miami Shores, FL 331617032.
What is Lisa Edgerton Do Pa's specialized field of practice, and what is the corresponding taxonomy classification code?
The Lisa Edgerton Do Pa's area of specialization is Adult Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Qa0505X.
On what date did the Lisa Edgerton Do Pa receive its 1366615254 assignment from the Centers for Medicare & Medicaid Services?
The Lisa Edgerton Do Pa was assigned its 1366615254 by the Centers for Medicare & Medicaid Services on 2008-04-11.
As of what date were the details related to Lisa Edgerton Do Pa most recently updated or revised?
The information pertaining to Lisa Edgerton Do Pa, including its address, specialty, and other relevant details, was last updated or revised on 2008-04-11.