1477542769 NPI number — LISA A SCUDDER DO PA

Table of content: (NPI 1477542769)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1477542769 NPI number — LISA A SCUDDER DO PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LISA A SCUDDER DO PA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1477542769
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/08/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2901 W BUSCH BLVD
Provider Second Line Business Mailing Address:
SUITE 403
Provider Business Mailing Address City Name:
TAMPA
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33618-4523
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
813-931-3999
Provider Business Mailing Address Fax Number:
813-936-7147

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2901 W BUSCH BLVD STE 403
Provider Second Line Business Practice Location Address:
SUITE 403
Provider Business Practice Location Address City Name:
TAMPA
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33618-4566
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
813-931-3999
Provider Business Practice Location Address Fax Number:
813-931-3999
Provider Enumeration Date:
10/19/2005

Additional Information

Authorized Official

Authorized Official Last Name:
SCUDDER
Authorized Official First Name:
LISA
Authorized Official Middle Name:
ANN
Authorized Official Title or Position:
PRESIDENT PHYSICIAN
Authorized Official Telephone Number:
813-931-3999

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  OS7188 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 379545400 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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