Sandra Lissa Dibello (NPI# 1891154167, PAC ID# 7214226646) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1891154167 |
| PAC ID by PECOS | 7214226646 |
| Professional Enrollment ID | I20180508002276 |
| Full Name | Sandra Lissa Dibello |
| Organization Legal Name | COLUMBIA MEDICAL GROUP LLC |
| Address |
3907 S Jog Rd Greenacres FL 33467-1590 |
| Phone Number | 5614323455 |
| Gender | F |
| Graduation Year | 2006 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8729231501 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3907 S Jog Rd, Greenacres, FL 33467-1590 | 5614323455 | COLUMBIA MEDICAL GROUP LLC |
| Organization Legal Name | COLUMBIA MEDICAL GROUP LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karim Rafael Harfouche | Internal Medicine | Columbia Medical Group LLC | 3907 S Jog Rd, Greenacres, FL 33467-1590 |
| Margarita Godoy | Nurse Practitioner | Columbia Medical Group LLC | 3907 S Jog Rd, Greenacres, FL 33467-1590 |
| Emely Arrieta Winchester | Nurse Practitioner | Columbia Medical Group LLC | 3907 S Jog Rd, Greenacres, FL 33467-1590 |
| Susan Maureen Dash | Nurse Practitioner | Columbia Medical Group LLC | 3907 S Jog Rd, Greenacres, FL 33467-1590 |
| Street Address |
3907 S JOG RD |
| City | GREENACRES |
| State | FL |
| Zip | 33467-1590 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karim Rafael Harfouche | Internal Medicine | Columbia Medical Group LLC | 3907 S Jog Rd, Greenacres, FL 33467-1590 |
| Margarita Godoy | Nurse Practitioner | Columbia Medical Group LLC | 3907 S Jog Rd, Greenacres, FL 33467-1590 |
| Emely Arrieta Winchester | Nurse Practitioner | Columbia Medical Group LLC | 3907 S Jog Rd, Greenacres, FL 33467-1590 |
| Susan Maureen Dash | Nurse Practitioner | Columbia Medical Group LLC | 3907 S Jog Rd, Greenacres, FL 33467-1590 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony Viscusi | Chiropractic | 5804 Jog Rd, Lake Worth, FL 33467 | |
| Eric J Cohen | Chiropractic | 6620 Lake Worth Rd, Suite C, Lake Worth, FL 33467-1518 | |
| Sharab Mohamed | Internal Medicine | 3345 S Jog Rd, Greenacres, FL 33467-2010 | |
| Diana A Oconnor | Nurse Practitioner | 3744 Cypress Lake Dr, Lake Worth, FL 33467-2203 | |
| Gregg S Korum | Chiropractic | 9835 -14 Lake Worth Rd, Korum Chiropractic Center, Lake Worth, FL 33467-2368 | |
| Lourdes M Delvalle | Physical Therapy | Gold Coast Physical Therapy Associates LLC | 9897 Lake Worth Rd, Suite 203, Lake Worth, FL 33467-2377 |
| Tina J Schmidt | Physical Therapy | Gold Coast Physical Therapy Associates LLC | 9897 Lake Worth Rd, Suite 203, Lake Worth, FL 33467-2377 |
| Brian A Schmidt | Physical Therapy | Gold Coast Physical Therapy Associates LLC | 9897 Lake Worth Rd, Suite 203, Lake Worth, FL 33467-2377 |
| Dara S Gill | Physical Therapy | Gold Coast Physical Therapy Associates LLC | 9897 Lake Worth Rd, Suite 203, Lake Worth, FL 33467-2377 |
| Erin N Ippolito | Physical Therapy | Gold Coast Physical Therapy Associates LLC | 9897 Lake Worth Rd, Suite 203, Lake Worth, FL 33467-2377 |
| Find all physicians in zip 33467 | |||
| City | GREENACRES |
| Zip Code | 33467 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | GREENACRES + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Sandra Lissa Dibello.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.