| Lisset Maria Suarez. Md,pa. | |
|
8316 Hanley Rd Ste 1 Tampa FL 33634-2284 | |
| (813) 964-8080 | |
| Not Available |
| Full Name | Lisset Maria Suarez. Md,pa. |
|---|---|
| Speciality | General Practice |
| Location | 8316 Hanley Rd Ste 1, Tampa, Florida |
| Authorized Official Name and Position | Lisset Maria Suarez (OWNER) |
| Authorized Official Contact | 8139648080 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisset Maria Suarez. Md,pa. 8316 Hanley Rd Ste 1 Tampa FL 33634-2284 Ph: (813) 964-8080 | Lisset Maria Suarez. Md,pa. 8316 Hanley Rd Ste 1 Tampa FL 33634-2284 Ph: (813) 964-8080 |
| NPI Number | 1023572336 |
|---|---|
| Provider Enumeration Date | 01/31/2019 |
| Last Update Date | 01/24/2023 |
| Medicare PECOS PAC ID | 0446599518 |
|---|---|
| Medicare Enrollment ID | O20190307001014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023572336 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Lisset Maria Suarez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1487022067 PECOS PAC ID: 7214245323 Enrollment ID: I20160622002229 |
| Provider Name | Milagros V Vazquez Guach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164024204 PECOS PAC ID: 5193127942 Enrollment ID: I20210715002703 |
| Provider Name | Yolaisy Betancourt Roque |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275218182 PECOS PAC ID: 8325492325 Enrollment ID: I20230925003086 |
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