Healthcare Provider Details

I. General information

NPI: 1447315171
Provider Name (Legal Business Name): LISA ANNE FRANCESCHINI WILDCATT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LISA ANNE FRANCESCHINI MD

II. Dates (important events)

Enumeration Date: 12/22/2006
Last Update Date: 03/18/2025
Certification Date: 03/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 E BLOOMINGDALE AVE # 501
BRANDON FL
33511-8118
US

IV. Provider business mailing address

2995 DREW ST
CLEARWATER FL
33759-3012
US

V. Phone/Fax

Practice location:
  • Phone: 813-699-3995
  • Fax: 813-315-1625
Mailing address:
  • Phone: 727-315-7496
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number200301080
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME100761
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: