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Lisa Goddard, APRN
Pediatric Nurse Practitioner in Largo, Florida
NPI 1255617783

Lisa Goddard is a Pediatric Nurse Practitioner based in Sarasota, FL and is specialized in Pediatrics. Lisa Goddard practices in Largo, FL and has the professional credentials of APRN. The NPI Number for Lisa Goddard is 1255617783 and holds a License No. APRN9327272 (Florida).

The current practice location address for Lisa Goddard is 1395 W Bay Dr, Largo, FL and can be reached out via phone at 727-584-6802.

Location: 1395 W Bay Dr, Largo, FL, 34238-4791
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255617783
Provider Name
Lisa Goddard
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
1395 W Bay Dr, Largo, FL, 34238-4791
Phone Number
727-584-6802
Fax Number
Provider Enumeration Date
10/28/2011
Last Update Date
09/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
008881100 05 FL
institution
Provider Business Practice Location Address Details
Address
1395 W Bay Dr
City
Largo
State
Florida
Zip
33770-2205
Phone Number
727-584-6802
Fax Number
person
Provider Business Mailing Address Details
Address
1395 W Bay Dr
City
Largo
State
Florida
Zip
33770-2205
Phone Number
727-584-6802
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
APRN9327272 (Florida)
Definition
Definition to come...
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