Korfhage, Lizamar S

Korfhage, Lizamar S is an individual health care provider with primary practice located at 205 E Nasa Blvd Fl 2 , Melbourne FL 32901-1950. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Korfhage, Lizamar S can be contacted via phone (321) 361-5619.

Contact Information

Primary practice address
205 E Nasa Blvd Fl 2 Melbourne FL 32901-1950
Phone: (321) 361-5619
Fax: (321) 728-4135
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9101825 Florida

Profile Details

NPI number 1790750388
LBN Legal business name Korfhage, Lizamar S
Credentials PA C
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Oct 21st, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790750388 NPPES
Florida Other E7845W MEDICARE
Florida MEDICAID 100869800 MEDICARE

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