Gibbons, Lisa C

Gibbons, Lisa C is an individual health care provider with primary practice located at 100 W Gore St Ste 405 , Orlando FL 32806-1049. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Gibbons, Lisa C can be contacted via phone (321) 841-3820.

Contact Information

Primary practice address
100 W Gore St Ste 405 Orlando FL 32806-1049
Phone: (321) 841-3820
Fax: (321) 843-6836
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PY7824 Florida

Profile Details

NPI number 1801049150
LBN Legal business name Gibbons, Lisa C
Credentials PHD.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 30th, 2008
Last updated May 14th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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