MEL TIMTIMAN LIZASO

PORT ST LUCIE, FL
NPI1215497789
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0001X 
(Licence: FL  ME169611)
Enumeration Date2019-03-21
Last Update Date2024-08-07
Business Address
Dr. MEL TIMTIMAN LIZASO MD
1095 NW SAINT LUCIE WEST BLVD
PORT ST LUCIE, FL 34986-1719
Phone number: 772-288-5890
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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