Individual provider · Type 1 NPI

Louis Carlisle, PA

Surgical Physician Assistant · Hollywood, FL

NPI number 1023020310 Active

Practice location

1150 N 35th Ave Ste 440
Hollywood, FL 33021-5430

Fax (954) 987-2953

Mailing address

2900 Corporate Way, Door D
Miramar, FL 33025-3925

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA2315 (FL)

Surgical Physician Assistant: Definition to come...

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About NPI 1023020310

Louis Carlisle, PA's National Provider Identifier is 1023020310, issued on Aug 13, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Hollywood, FL. The record was last updated on Mar 18, 2021.