Velasquez, Lisa Ann

Velasquez, Lisa Ann is an individual health care provider with primary practice located at 501 6Th Ave S , St Petersburg FL 33701-4634. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pediatric Anesthesiology. Allopathic & Osteopathic Physicians / Pediatric Anesthesiology is her primary health care specialty. Velasquez, Lisa Ann can be contacted via phone (727) 767-8480.

Contact Information

Primary practice address
501 6Th Ave S St Petersburg FL 33701-4634
Phone: (727) 767-8480
Fax: (727) 767-8420
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X ME87485 Florida
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology 207LP3000X ME87485 Florida

Profile Details

NPI number 1780625665
LBN Legal business name Velasquez, Lisa Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Aug 6th, 2012 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1780625665 NPPES
Florida MEDICAID 266730400

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