LISA MICHELLE MAZZAFERRO (NPI# 1174846380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174846380 |
Entity Type | Individual |
Full Name | LISA MICHELLE MAZZAFERRO |
Credential | ARNP |
Practice Address |
7978 Cooper Creek Blvd Suite 105 University Park FL 34201-2141 |
Practice Telephone | 9413598900 |
Practice Fax Number | 9413598990 |
Mailing Telephone | 9413598900 |
Mailing Fax Number | 9413598990 |
Enumeration Date | 2010-03-03 |
Last Update Date | 2011-12-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9229045 | FL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
7978 COOPER CREEK BLVD SUITE 105 |
City | UNIVERSITY PARK |
State | FL |
Zip Code | 34201-2141 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477548808 | Elizabeth F Callahan | Specialist | 7978 Cooper Creek Blvd, Suite 204, University Park, FL 34201-2141 | 2005-09-12 |
1376508739 | Family Medicine Specialists, Pllc | Family Medicine | 7978 Cooper Creek Blvd, Suite 210, University Park, FL 34201-2141 | 2006-04-19 |
1184614851 | Aldrich Cardiovascular Institute Pa | Internal Medicine | 7978 Cooper Creek Blvd, Suite 105, University Park, FL 34201-2141 | 2005-10-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144512831 | Advance Healthcare Clinic, LLC | Acupuncturist | 8480 Cooper Creek Boulevard, Suite 102, University Park, FL 34201 | 2011-05-12 |
1811174253 | University Spinal Care Center | Chiropractor | 8441 Honore Ave, Bradenton, FL 34201 | 2008-01-29 |
1720152820 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 8085 Cooper Creek Blvd, Sarasota, FL 34201 | 2006-11-20 |
1053362764 | Bracciano Dermatology Plc | Dermatology | 8430 Cooper Creek Blvd, Suite 102, University Park, FL 34201 | 2006-05-15 |
1669631586 | Aaron D Kennedy | Dentist | 8198 Tourist Center Dr, Bradenton, FL 34201-2000 | 2008-06-05 |
1467014324 | Sara Sardano | Dentist | 8198 Tourist Center Dr, Bradenton, FL 34201-2000 | 2019-07-01 |
1508177932 | Aaron Kennedy, Dmd, Pl | Dentist | 8198 Tourist Center Dr, Bradenton, FL 34201-2000 | 2010-06-30 |
1194983890 | Megan Lyn Davis | Massage Therapist | 8109 Cooper Creek Blvd, University Park, FL 34201-2004 | 2008-05-29 |
1811242241 | John Tucker | Massage Therapist | 8109 Cooper Creek Blvd, University Park, FL 34201-2004 | 2012-07-23 |
1629323019 | Melissa Dawn King | Massage Therapist | 8109 Cooper Creek Blvd, University Park, FL 34201-2004 | 2012-07-21 |
Find all providers in zip 34201 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
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1356307425 | Candace Kugel | Nurse Practitioner | University Health Services, Ritenour Building, University Park, PA 16802 | 2006-04-26 |
1336104611 | Michael A Lembeck-edens | Nurse Practitioner | Penn State University, 222 Elmore Research Wing Noll Lab, University Park, PA 16802 | 2006-04-19 |
1386106649 | Deidra Sanford | Nurse Practitioner | 1 University Pkwy, University Park, IL 60484-3165 | 2019-04-04 |
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Find all providers with the same taxonomy |
City | UNIVERSITY PARK |
Zip Code | 34201 |
Please comment or provide details below to improve the information on LISA MICHELLE MAZZAFERRO.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.