Lisa R Rose (NPI# 1982740585, PAC ID# 7911914932) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1982740585 |
| PAC ID by PECOS | 7911914932 |
| Professional Enrollment ID | I20060316000386 |
| Full Name | Lisa R Rose |
| Organization Legal Name | MED EQUITY PARTNERS LLC |
| Address |
2370 E International Speedway Blvd Deland FL 32724-2744 |
| Phone Number | 3867361105 |
| Gender | F |
| Credential | MD |
| Medical School | LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4981942505 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100007 | FLORIDA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2370 E International Speedway Blvd, Deland, FL 32724-2744 | 3867361105 | MED EQUITY PARTNERS LLC |
| Organization Legal Name | MED EQUITY PARTNERS LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jackie W Westfall | General Practice | Med Equity Partners LLC | 2370 E International Speedway Blvd, Deland, FL 32724-2744 |
| Street Address |
2370 E INTERNATIONAL SPEEDWAY BLVD |
| City | DELAND |
| State | FL |
| Zip | 32724-2744 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jackie W Westfall | General Practice | Med Equity Partners LLC | 2370 E International Speedway Blvd, Deland, FL 32724-2744 |
| Stanley F Stockhammer Jr. | Family Practice | Stanley F. Stockhammer, Jr. D.o., P.a. | 2370 E International Speedway Blvd, Deland, FL 32724-2744 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah Jarnagin | Physical Therapy | Healthpro Heritage Rehab and Fitness LLC | 350 E International Speedway Blvd, Deland, FL 32724-2402 |
| Jane Frances Hollen | Occupational Therapy | Healthpro Heritage Rehab and Fitness LLC | 350 E International Speedway Blvd, Deland, FL 32724-2402 |
| Ann E Arnold | Occupational Therapy | Healthpro Heritage Rehab and Fitness LLC | 350 E International Speedway Blvd, Deland, FL 32724-2402 |
| Kimberly T Dever | Speech Language Pathologist | Healthpro Heritage Rehab and Fitness LLC | 350 E International Speedway Blvd, Deland, FL 32724-2402 |
| Christopher W Jordan | Chiropractic | 334 E Church St, Deland, FL 32724-4309 | |
| Trevor W Maxwell | Chiropractic | 141 E Indiana Ave, Suite B, Deland, FL 32724-4329 | |
| Mohan L Sharma | Internal Medicine | 229 E Rich Ave, Deland, FL 32724-4357 | |
| Teofilo A Del Castillo Jr. | Psychiatry | 250 N Kepler Rd, Deland, FL 32724-4712 | |
| John Gaffney | Chiropractic | John D. Gaffney, D. C., P. A. | 339 E New York Ave, Deland, FL 32724-5509 |
| Ananth Krishnan | Internal Medicine | 230 E New York Ave, Deland, FL 32724-5522 | |
| Find all physicians in zip 32724 | |||
| City | DELAND |
| Zip Code | 32724 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | DELAND + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Lisa R Rose.
| 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.