Lister, Dana T
Lister, Dana T is an individual health care provider with primary practice located at 789 S Federal Hwy , Fort Lauderdale FL 33316-1218. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Lister, Dana T can be contacted via phone (954) 315-5784.Contact Information
Primary practice address
789 S Federal Hwy
Fort Lauderdale FL 33316-1218
Phone: (954) 315-5784
Fax: (954) 522-0755
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | OS14229 | Florida |
Profile Details
| NPI number | 1255322632 |
|---|---|
| LBN Legal business name | Lister, Dana T |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 3rd, 2005 |
| Last updated | Jan 28th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255322632 | NPPES |
| Florida | MEDICAID | 018700800 |
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