Medgansis, Lisa

Medgansis, Lisa is an individual health care provider with primary practice located at 2030 S Patrick Dr , Indian Harbour Beach FL 32937-4400. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Medgansis, Lisa can be contacted via phone (321) 773-8155.

Contact Information

Primary practice address
2030 S Patrick Dr Indian Harbour Beach FL 32937-4400
Phone: (321) 773-8155
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT6390 Florida

Profile Details

NPI number 1720021264
LBN Legal business name Medgansis, Lisa
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated May 26th, 2011 - about 15 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 1720021264 NPPES
Florida Other PT-6390 STATE OF FL. PT LICENSE

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