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1215497789
MEL TIMTIMAN LIZASO
PORT ST LUCIE, FL
NPI
1215497789
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0001X Radiology, Radiation Oncology
(Licence: FL ME169611)
Enumeration Date
2019-03-21
Last Update Date
2024-08-07
Business Address
Dr. MEL TIMTIMAN LIZASO MD
1095 NW SAINT LUCIE WEST BLVD
PORT ST LUCIE, FL 34986-1719
Phone number: 772-288-5890
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Mailing Address
Dr. MEL TIMTIMAN LIZASO MD
1095 NW SAINT LUCIE WEST BLVD
PORT ST LUCIE, FL 34986-1719
Phone number: 772-785-5588
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