Lidet Real Corporation
Lidet Real Corporation is a Podiatrist in Miami, Florida. Licensed in California. Registered with an NPI since 2014.
- Licensed in
- CA
- In the registry since
- 2014
Practice location Address checks out
1611 NW 12th AveMiami, FL 33136-1005
Phone: (305) 710-1971
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Podiatrist (primary) | Taxonomy 213E00000X · Licence 5133 (CA) |
|---|
Record details
| NPI number | 1518361385 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lisa Detournay — Owner/Podiatrist · (305) 710-1971 |
| NPI enumerated | October 22, 2014 |
| Last updated in NPPES | August 12, 2020 |
| Certification date | August 12, 2020 |
| Mailing address | 1235 Mariposa Ave Apt 2, Coral Gables, FL 33146-3252 |
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