Lisa M Jardine in Winter Haven - Obstetrics & Gynecology

Lisa M Jardine - NPI 1881662153

Lisa M Jardine is a Obstetrics & Gynecology in Winter Haven, Florida. Lisa M Jardine practices all healthcare services and medical treatments related to Obstetrics & Gynecology. The NPI Number for Lisa M Jardine is 1881662153. The last update date is 2014-12-04.

Lisa M Jardine's current location address is 450 E Central Ave, Winter Haven, Florida. You can contact this provider via phone number 8632940670 and fax number 8632983200. The mailing address for Lisa M Jardine is 450 E Central Ave, Winter Haven, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Lisa M Jardine
Address 450 E Central Ave, Winter Haven, Florida
Phone Number 8632940670
Fax Number 8632983200
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1881662153
Provider Enumeration Date 2006-03-10
Last Updated Date 2014-12-04

Provider Mailing Address Detail

Address 450 E Central Ave
City Winter Haven
State Florida (FL)
Post Code 338803050
Phone Number 8632940670
Fax Number 8632983200

Provider's Primary Taxonomy Detail

Speciality Obstetrics & Gynecology
Taxonomy 207V00000X
Licence No ME76581
Definition:
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
160044555 FL MEDICARE ID/RRM PIN
255262100 FL --

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FAQs about Lisa M Jardine

What is the unique 10-digit identifier code assigned to Lisa M Jardine by the Centers for Medicare & Medicaid Services?

The Lisa M Jardine has been issued the NPI (National Provider Identifier) 1881662153 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Lisa M Jardine's facilities are situated?

The facilities of Lisa M Jardine are physically located at the following address: 450 E Central Ave, Winter Haven, FL, 338803050.

What is Lisa M Jardine's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Lisa M Jardine is Obstetrics & Gynecology, and the taxonomy code that classifies this field of practice is 207V00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1881662153 to Lisa M Jardine?

The Centers for Medicare & Medicaid Services assigned the 1881662153 to Lisa M Jardine on 2006-03-10.

As of what date was the information pertaining to Lisa M Jardine, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Lisa M Jardine, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-12-04.

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