Cosgrove, Lisa A

Cosgrove, Lisa A is an individual health care provider with primary practice located at 270 N Sykes Creek Pkwy Unit 108, Merritt Island FL 32953. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Cosgrove, Lisa A can be contacted via phone (321) 452-1061.

Contact Information

Primary practice address
270 N Sykes Creek Pkwy Unit 108 Merritt Island FL 32953
Phone: (321) 452-1061
Fax: (321) 453-0866
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME59169 Florida

Profile Details

NPI number 1598722621
LBN Legal business name Cosgrove, Lisa A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Sep 22nd, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598722621 NPPES
Florida MEDICAID 372574000
Florida Other 18653

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