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1710959622
JOSE LUIS LIZARDI
DAVENPORT, FL
NPI
1710959622
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: FL PA3731)
Enumeration Date
2006-02-03
Last Update Date
2025-01-17
Business Address
Mr. JOSE LUIS LIZARDI PA-C
2330 NORTH BLVD W
DAVENPORT, FL 33837-8989
Phone number: 407-931-0444
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Mailing Address
Mr. JOSE LUIS LIZARDI PA-C
PO BOX 44008 UFJP WINTER HAVEN
JACKSONVILLE, FL 32231-4008
Phone number: 904-244-3199
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