Lister, Michelle L

Lister, Michelle L is an individual health care provider with primary practice located at 21097 Ne 27Th Ct Suite 100, Aventura FL 33180-1204. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Lister, Michelle L can be contacted via phone (305) 792-0012.

Contact Information

Primary practice address
21097 Ne 27Th Ct Suite 100 Aventura FL 33180-1204
Fax: (305) 792-0030
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME69939 Florida

Profile Details

NPI number 1447259486
LBN Legal business name Lister, Michelle L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Feb 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447259486 NPPES
Florida MEDICAID 260903700

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