Ally, Lisa

Ally, Lisa is an sole proprietor health care provider with primary practice located at 10205 S Dixie Hwy 102, Pinecrest FL 33156-3167. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Ally, Lisa can be contacted via phone (305) 666-0496.

Contact Information

Primary practice address
10205 S Dixie Hwy 102 Pinecrest FL 33156-3167
Phone: (305) 666-0496
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA 9103925 Florida

Profile Details

NPI number 1194929216
LBN Legal business name Ally, Lisa
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2007
Last updated Oct 7th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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