Female

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

Provider Address

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