| Lisa Marie Dorto Freeman, CAA | |
| 
					1901 Sw 172nd Ave, Miramar, FL 33029  | |
| (954) 538-4600 | |
| (954) 538-4615 | 
| Full Name | Lisa Marie Dorto Freeman | 
|---|---|
| Gender | Female | 
| Speciality | Anesthesiologist Assistant | 
| Location | 1901 Sw 172nd Ave, Miramar, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1497063242 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | AA63 (Florida) | Primary | 
| Entity Name | Sheridan Healthcorp Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1629781711 PECOS PAC ID: 3173429693 Enrollment ID: O20031208000355  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Lisa Marie Dorto Freeman, CAA 7700 W Sunrise Blvd, Plantation, FL 33322-4113 Ph: (720) 462-5373  | Lisa Marie Dorto Freeman, CAA 1901 Sw 172nd Ave, Miramar, FL 33029 Ph: (954) 538-4600  | 
Edward De Jesus Bolanos, CAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 1901 Sw 172nd Ave, Miramar, FL 33029 Phone: 954-838-2371 Fax: 954-851-1746  | |
Pavan Makavana,  Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 17358 Sw 36th St, Miramar, FL 33029 Phone: 954-743-8970  | |
Richard La Rosa, CAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 1901 Sw 172nd Ave, Miramar, FL 33029 Phone: 954-538-5000  | |
Jose G Toca, CAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 1901 Sw 172nd Ave, Miramar, FL 33029 Phone: 954-538-5171  | |
Pedro A Lorenzo Jr., AA-C Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1901 Sw 172nd Ave, Miramar, FL 33029 Phone: 954-838-2371  | |
Jillian Nicole Sabates, AA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 1901 Sw 172nd Ave, Miramar, FL 33029 Phone: 954-538-5000 Fax: 954-851-1758  | |
Fahim A. Siddiqui, AA-C Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1901 Sw 172nd Ave, Miramar, FL 33029 Phone: 954-538-5000  |