Flaherty, Lisa Ann

Flaherty, Lisa Ann is an individual health care provider with primary practice located at 5880 49Th St N Suite 104, St Petersburg FL 33709-2150. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Flaherty, Lisa Ann can be contacted via phone (727) 528-6100.

Contact Information

Primary practice address
5880 49Th St N Suite 104 St Petersburg FL 33709-2150
Phone: (727) 528-6100
Fax: (727) 528-7895
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X OS9216 Florida

Profile Details

NPI number 1386607315
LBN Legal business name Flaherty, Lisa Ann
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated Mar 17th, 2018 - about 8 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 1386607315 NPPES
Florida MEDICAID 269660600
Florida Other 43183Y

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