LIZAMAR S KORFHAGE

MELBOURNE, FL
NPI1790750388
Former NameLIZAMAR DELOURDES SULSONA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA9101825)
Enumeration Date2006-02-17
Last Update Date2019-10-21
Business Address
LIZAMAR S KORFHAGE PA C
205 E NASA BLVD FL 2
MELBOURNE, FL 32901-1950
Phone number: 321-361-5619
Mailing Address
LIZAMAR S KORFHAGE PA C
3300 S FISKE BLVD
ROCKLEDGE, FL 32955-4306
Phone number: 321-361-5619
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