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NPI Code Detail

MEDICARE: MS. LISA ALBERO PA

MEDICARE: MS. LISA ALBERO PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA3690FL

General Provider Information

NPI Number : 1013913599
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LISA ALBERO PA
Provider Business Mailing Address
First Line : 13000 BRUCE B DOWNS BLVD
Second Line :
City : TAMPA
State : FL
Zip : 33612-4745
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 13000 BRUCE B DOWNS BLVD
Second Line :
City : TAMPA
State : FL
Zip : 33612-4745
Country : US
Telephone Number : 813-972-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2005
Last Update Date : 04/18/2012

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Directions to “ MS. LISA ALBERO PA” Practice Location

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