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1023020310
LOUIS CARLISLE
HOLLYWOOD, FL
NPI
1023020310
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: FL PA2315)
Enumeration Date
2006-08-13
Last Update Date
2021-03-18
Business Address
LOUIS CARLISLE PA
1150 N 35TH AVE STE 440
HOLLYWOOD, FL 33021-5430
Phone number: 954-987-2020
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Mailing Address
LOUIS CARLISLE PA
2900 CORPORATE WAY DOOR D
MIRAMAR, FL 33025-3925
Phone number: 954-276-5685
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