Lisa M. Gavosto APRN
Nurse Practitioner in Tampa, FL(View on Map)
Full Name
Lisa M Gavosto APRN
NPI Number
1174853923
NPI Type
Individual Provider
Gender
Female
Enumeration Date
12/29/2009
Specialties
(Taxonomies)Code
363L00000X
363LA2200X
363LF0000X
Primary Taxonomy
Yes
No
No
Licenses
State
Florida
Florida
License Number
APRN9190830
ARNP9190830
Contact
Information
Purpose
Mailing
Location
Address
38135 MARKET SQ
3000 MEDICAL PARK DR
City
Zephyrhills
Tampa
State
FL
FL
Postal Code
33542-7505
33613-4680
Country
US
US
Telephone Number
(813) 528-4975
(813) 977-2020
Identifiers
Identifier
P01191553
Identifier State
FL
Identifier Issuer
R&R MEDICARE
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 09/21/2023