Lisa Marie Gorman in Viera - General Practice
Lisa Marie Gorman - NPI 1619924925
Lisa Marie Gorman is a General Practice in Viera, Florida. Lisa Marie Gorman practices all healthcare services and medical treatments related to General Practice. The NPI Number for Lisa Marie Gorman is 1619924925. The last update date is 2007-07-08.
Lisa Marie Gorman's current location address is 2900 Veterans Way, Viera, Florida. You can contact this provider via phone number 3216373646. The mailing address for Lisa Marie Gorman is 2900 Veterans Way, Viera, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Marie Gorman |
|---|---|
| Address | 2900 Veterans Way, Viera, Florida |
| Phone Number | 3216373646 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1619924925 |
|---|---|
| Provider Enumeration Date | 2006-05-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2900 Veterans Way |
|---|---|
| City | Viera |
| State | Florida (FL) |
| Post Code | 329408007 |
| Phone Number | 3216373646 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 30-02-0310 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique identification code assigned to Lisa Marie Gorman by the Centers for Medicare & Medicaid Services?
The Lisa Marie Gorman has been issued the NPI (National Provider Identifier) 1619924925. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Lisa Marie Gorman's facilities are geographically located?
The facilities of Lisa Marie Gorman are physically situated at the following location: 2900 Veterans Way, Viera, FL, 329408007.
What is Lisa Marie Gorman's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Lisa Marie Gorman's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.
When was the Lisa Marie Gorman's 1619924925 issued?
The Lisa Marie Gorman's 1619924925 was issued on 2006-05-30.
As of what date were the details related to Lisa Marie Gorman most recently updated or revised?
The information pertaining to Lisa Marie Gorman, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.