Liss, Eric Alexander

Liss, Eric Alexander is an individual health care provider with primary practice located at 21275 Olean Blvd , Port Charlotte FL 33952-6704. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Liss, Eric Alexander can be contacted via phone (941) 625-1325.

Contact Information

Primary practice address
21275 Olean Blvd Port Charlotte FL 33952-6704
Phone: (941) 625-1325
Fax: (941) 625-6482
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X ME132169 Florida

Profile Details

NPI number 1225477748
LBN Legal business name Liss, Eric Alexander
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2013
Last updated Jan 24th, 2024 - about 2 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 1225477748 NPPES
Florida Other PH823 PTAN
Florida MEDICAID 021114900 PTAN
Florida Other OD205 PTAN

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