Pezzullo, Lisa Karen

Pezzullo, Lisa Karen is an sole proprietor health care provider with primary practice located at 10547 Sw Sunray St , Port St Lucie FL 34987-7721. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Respiratory Therapist, Certified, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Home Health. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Home Health is her primary health care specialty. Pezzullo, Lisa Karen can be contacted via phone (954) 649-4587.

Contact Information

Primary practice address
10547 Sw Sunray St Port St Lucie FL 34987-7721
Phone: (954) 649-4587
Fax: (727) 674-1816
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Respiratory Therapist, Certified 227800000X TT8731 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Home Health 2278H0200X TT8731 Florida

Profile Details

NPI number 1023287471
LBN Legal business name Pezzullo, Lisa Karen
Credentials Certified Respiratory Therapy Technician (CRTT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 29th, 2008
Last updated Mar 1st, 2023 - about last year

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1023287471 NPPES
Florida MEDICAID 012962100

Popular Providers