LISA GONSALVES

ORMOND BEACH, FL
NPI1114997616
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: FL  ME0060521)
Enumeration Date2006-01-25
Last Update Date2012-06-21
Business Address
-- LISA GONSALVES M.D.
335 CLYDE MORRIS BLVD SUITE 240
ORMOND BEACH, FL 32174-3181
Phone number: 386-231-3561
Mailing Address
-- LISA GONSALVES M.D.
PO BOX 730729
ORMOND BEACH, FL 32173-0729
Phone number: 386-231-3561
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