Healthcare Provider Details

I. General information

NPI: 1619928652
Provider Name (Legal Business Name): LISA M FERREIRA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LISA M PHELPS MD

II. Dates (important events)

Enumeration Date: 05/15/2006
Last Update Date: 07/15/2025
Certification Date: 07/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 HEALING WAY STE 300
WESLEY CHAPEL FL
33543-5453
US

IV. Provider business mailing address

2700 HEALING WAY STE 300
WESLEY CHAPEL FL
33543-5453
US

V. Phone/Fax

Practice location:
  • Phone: 813-467-4756
  • Fax: 813-929-5018
Mailing address:
  • Phone: 813-467-4756
  • Fax: 813-929-5018

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2083B0002X
TaxonomyObesity Medicine (Preventive Medicine) Physician
License Number81913
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207QB0002X
TaxonomyObesity Medicine (Family Medicine) Physician
License Number81913
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: