Carlisle, Louis

Carlisle, Louis is an sole proprietor health care provider with primary practice located at 1150 N 35Th Ave Ste 440 , Hollywood FL 33021-5430. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Carlisle, Louis can be contacted via phone (954) 987-2020.

Contact Information

Primary practice address
1150 N 35Th Ave Ste 440 Hollywood FL 33021-5430
Phone: (954) 987-2020
Fax: (954) 987-2953
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA2315 Florida

Profile Details

NPI number 1023020310
LBN Legal business name Carlisle, Louis
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 13th, 2006
Last updated Mar 18th, 2021 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1023020310 NPPES
Florida MEDICAID 291116700

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