MEDICARE: LISA RENEE MUTH A.R.N.P.

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
1	363L00000X	Nurse Practitioner	ARNP2218732	FL

General Provider Information

NPI Number	:	1518910322
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LISA RENEE MUTH A.R.N.P.

Provider Business Mailing Address
First Line	:	3355 CLAIRE LN
Second Line	:	#1604
City	:	JACKSONVILLE
State	:	FL
Zip	:	32223-6677
Country	:	US
Telephone Number	:	904-880-1496
Fax Number	:

Provider Business Practice Location Address
First Line	:	7900 BELFORT PKWY
Second Line	:	SUITE 300
City	:	JACKSONVILLE
State	:	FL
Zip	:	32256-6931
Country	:	US
Telephone Number	:	904-281-0107
Fax Number	:	904-281-0788

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/19/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1831113216 — AMERICAN DIAGNOSTIC CENTERS
Practice Location Address:

7900 BELFORT PKWY , SUITE 301
JACKSONVILLE, FL
32256-6931

Practice Phone: 904-517-5500
Practice Fax: 904-517-5501

1023375201 — AMERICAN SLEEP PRODUCTS, LLC
Practice Location Address:

7900 BELFORT PKWY , SUITE 301B
JACKSONVILLE, FL
32256-6931

Practice Phone: 855-277-2775
Practice Fax: 904-517-5542

1255286563 — CARON LITRICE RICHARDS
Practice Location Address:

6931 RED ROBIN DR
JACKSONVILLE, FL
32210-3668

Practice Phone: 904-233-8763
Practice Fax:

1023447133 — AMERICAN SLEEP PRODUCTS, LLC
Practice Location Address:

8725 LOCH RAVEN BLVD , 201F
TOWSON, MD
21286-2207

Practice Phone: 410-663-0273
Practice Fax: 410-663-0275

1942630868 — AMERICAN SLEEP PRODUCTS, LLC
Practice Location Address:

5530 HIGHWAY 280 , 104B
BIRMINGHAM, AL
35242-2305

Practice Phone: 205-437-7344
Practice Fax: 205-737-7341

1972901379 — AMERICAN SLEEP PRODUCTS, LLC
Practice Location Address:

4010 DUPONT CIR , SUITE #124
LOUISVILLE, KY
40207-4812

Practice Phone: 502-895-7310
Practice Fax: 502-895-7311

Directions to “ LISA RENEE MUTH A.R.N.P.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.