| Darvis Eduardo Dager Lissabet, MD | |
|
2301 Del Prado Blvd S Ste 890, Cape Coral, FL 33990-6609 | |
| (239) 574-8880 | |
| Not Available |
| Full Name | Darvis Eduardo Dager Lissabet |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Experience | 14 Years |
| Location | 2301 Del Prado Blvd S Ste 890, Cape Coral, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720765506 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | ACN1654 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Prime Life Health Llc | 5092153940 | 5 |
| Revitalize Health Center Llc | 1052800299 | 3 |
| Entity Name | Prime Life Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821869389 PECOS PAC ID: 5092153940 Enrollment ID: O20240410003840 |
| Mailing Address | Practice Location Address |
|---|---|
| Darvis Eduardo Dager Lissabet, MD 601 S Harbour Island Blvd Ste 200, Tampa, FL 33602-5925 Ph: (727) 322-3439 | Darvis Eduardo Dager Lissabet, MD 2301 Del Prado Blvd S Ste 890, Cape Coral, FL 33990-6609 Ph: (239) 574-8880 |
Dr. Adam P Hall, D.O. General Practice Medicare: Not Enrolled in Medicare Practice Location: 811 Del Prado Blvd S, Cape Coral, FL 33990 Phone: 239-302-2697 Fax: 239-302-2699 | |
Alejandro Trujillo Sr., MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 1411 Se 16th Pl, Cape Coral, FL 33990 Phone: 239-673-6516 Fax: 239-673-6536 | |
Dr. Manny J Hernandez, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 1255 1 Viscaya Parkway, Suite 103, Cape Coral, FL 33990 Phone: 239-573-6111 Fax: 239-573-9534 | |
Dalila Fernandez, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 2354 Surfside Blvd Ste D-103, Cape Coral, FL 33991 Phone: 239-317-7131 | |
Milton John Mckelvie, DVM General Practice Medicare: Not Enrolled in Medicare Practice Location: 2015 Del Prado Blvd S., Cape Coral, FL 33990 Phone: 239-574-6171 | |
John Michael Wilson, General Practice Medicare: Accepting Medicare Assignments Practice Location: 632 Del Prado Blvd N, Cape Coral, FL 33909 Phone: 239-343-3800 Fax: 239-343-4261 |