LISA MICHELLE MAZZAFERRO


Address: 7978 Cooper Creek Blvd, Suite 105, University Park, FL 34201-2141
Phone: 9413598900

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
ARNP9229045 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 7978 COOPER CREEK BLVD
SUITE 105
City UNIVERSITY PARK
State FL
Zip Code 34201-2141

Providers in the same location

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

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144512831 Advance Healthcare Clinic, LLC Acupuncturist 8480 Cooper Creek Boulevard, Suite 102, University Park, FL 34201 2011-05-12
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1720152820 Usv Optical Inc. Eyewear Supplier (Equipment, not the service) 8085 Cooper Creek Blvd, Sarasota, FL 34201 2006-11-20
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1669631586 Aaron D Kennedy Dentist 8198 Tourist Center Dr, Bradenton, FL 34201-2000 2008-06-05
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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
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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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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Competitor

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City UNIVERSITY PARK
Zip Code 34201

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Dataset Information

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.

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