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NPI Code Detail

MEDICARE: LISA WHIMS-SQUIRES, D.O., PA

MEDICARE: LISA WHIMS-SQUIRES, D.O., 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
1207RP1001XPulmonary Disease PhysicianOS6918FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1110241957OTHERFLRRMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2UNITED HEALTHOTHERFL4885700
3259527OTHERFLAVMED
4FIRST HEALTHOTHERFL1745733
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
63617741OTHERFLCIGNA
7AMERIGROUPOTHERFL223693
82799257OTHERFLAETNA
944392OTHERFLBC

General Provider Information

NPI Number : 1477592426
Entity Type Code : Organization
Provider Name (Legal Business Name) : LISA WHIMS-SQUIRES, D.O., PA
Provider Business Mailing Address
First Line : 2840 W BAY DR
Second Line : SUITE 273
City : BELLEAIR BLUFFS
State : FL
Zip : 33770-2620
Country : US
Telephone Number : 727-466-9847
Fax Number : 727-466-0346
Provider Business Practice Location Address
First Line : 1305 S FORT HARRISON AVE
Second Line : BLDG. G
City : CLEARWATER
State : FL
Zip : 33756-3301
Country : US
Telephone Number : 727-466-9847
Fax Number : 727-466-0346
Authorized Official
Title or Position : P.A.
Name : DR. LISA A WHIMS-SQUIRES
Credential : D.O.
Telephone Number : 727-466-9847
Provider Enumeration Date : 06/05/2006
Last Update Date : 01/06/2010

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