LISSETTE SELEM MD PA
Psychiatric at Krome Ave, Homestead, FL

License number
Florida ACN321
Category
Psychiatric
Type
Psychiatry
Owner
Name: EILEEN SUAREZ
Title: BILLING AGENT
Phone: (305) 251-3391
Address
Address
909 N Krome Ave, Homestead, FL 33030
National Provider ID: 1548673700
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Lissette Selem, M.D., PA

Homestead, FL  -  Fort Lauderdale, FL

Status:
Inactive
Industry:
Medical Doctor's Office, Psychiatrist
Doing business as:
Lissette Selem MD
Registration:
May 7, 2010
Phone:
(954) 217-6024 (Phone)
Addresses:
909 N Krome Ave, Homestead, FL 33030
1200 Leeward Way, Fort Lauderdale, FL 33327
State ID:
P10000039931
Business type:
Domestic for Profit Corporation
President, Secretary, Medical Doctor, Principal:
Lissette Selem President, Secretary, Medical Doctor, Principal, inactive

Psychiatric licenses in Florida


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