LISA TACK

BOCA RATON, FL
NPI1568835189
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA9109250)
Enumeration Date2015-11-04
Last Update Date2016-03-13
Business Address
-- LISA TACK PA-C
1001 NW 13TH ST #100
BOCA RATON, FL 33486-2269
Phone number: 561-750-0544
Mailing Address
-- LISA TACK PA-C
1001 NW 13TH ST #100
BOCA RATON, FL 33486-2269
Phone number: 561-750-0544
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