Gamell, Lisa S

Gamell, Lisa S is an individual health care provider with primary practice located at 3242 Cove Bend Dr , Tampa FL 33613-2752. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Glaucoma Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is her primary health care specialty. Gamell, Lisa S can be contacted via phone (813) 265-6940.

Contact Information

Primary practice address
3242 Cove Bend Dr Tampa FL 33613-2752
Phone: (813) 265-6940
Fax: (813) 908-3937
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Glaucoma Specialist 207WX0009X ME99976 Florida
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X ME 99976 Florida

Profile Details

NPI number 1629051651
LBN Legal business name Gamell, Lisa S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2005
Last updated Oct 15th, 2020 - about 6 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 1629051651 NPPES
Florida Other 11299 BLUE CROSS BLUE SHIELD
Florida MEDICAID 280206600 BLUE CROSS BLUE SHIELD

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