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Lisset Fundora
NPI 1487487633 · on the registry since 2024 · sole proprietor
Practice
- Address
- 4500 Nw 114th Ave Apt 2201
Doral, FL 33178 - Phone
- (786) 354-7795
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-08-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida