| Lisa Smith, PA | |
|
7305 N Military Trl, Riviera Beach, FL 33410-7417 | |
| (561) 422-8262 | |
| Not Available |
| Full Name | Lisa Smith |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 7305 N Military Trl, Riviera Beach, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538337720 | NPI | - | NPPES |
| Entity Name | Vidant Medical Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Smith, PA Po Box 451851, Fort Lauderdale, FL 33345-1851 Ph: Not Available | Lisa Smith, PA 7305 N Military Trl, Riviera Beach, FL 33410-7417 Ph: (561) 422-8262 |
Seasine Albarran, PA-C, MPAS Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7305 N Military Trl, Riviera Beach, FL 33410 Phone: 561-422-7250 |
Mr. Ernest B. Walton, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7305 N Military Trl, Riviera Beach, FL 33410 Phone: 561-422-6886 Fax: 561-422-8686 |
Soomdat Ragoo, PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7305 N Military Trl, Riviera Beach, FL 33410 Phone: 561-422-7508 Fax: 561-422-8351 |
Reginald Denizard, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 7305 N Military Trl, Riviera Beach, FL 33410 Phone: 561-422-7589 |
Margarita Odalyz Clemente, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1991 W 16th Ct, Apt C, Riviera Beach, FL 33404 Phone: 561-248-4157 |
Mr. Frank Joseph Babich, RPA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 7305 N Military Trl, Riviera Beach, FL 33410 Phone: 561-422-6879 |
Michelle A Jn-baptiste, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2001 W Blue Heron Blvd, Riviera Beach, FL 33404 Phone: 561-841-3500 Fax: 561-844-3342 |