Lisa Gwynn is a Pediatrics in Hollywood, Florida. Lisa Gwynn practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Lisa Gwynn is 1407848682. The last update date is 2008-11-10.
Lisa Gwynn's current location address is 4651 Sheridan St., Hollywood, Florida. You can contact this provider via phone number 9549896000 and fax number 9543784775. The mailing address for Lisa Gwynn is 4651 Sheridan St., Hollywood, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Gwynn |
|---|---|
| Address | 4651 Sheridan St., Hollywood, Florida |
| Phone Number | 9549896000 |
| Fax Number | 9543784775 |
| Sole Proprietor | N |
| Credentials | DO. |
NPI Number Detail
| NPI Number | 1407848682 |
|---|---|
| Provider Enumeration Date | 2005-08-16 |
| Last Updated Date | 2008-11-10 |
Provider Mailing Address Detail
| Address | 4651 Sheridan St. |
|---|---|
| City | Hollywood |
| State | Florida (FL) |
| Post Code | 330213422 |
| Phone Number | 9549896000 |
| Fax Number | 9543784775 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 0S8394 |
|
Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 262070700 | FL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Lisa Gwynn by the Centers for Medicare & Medicaid Services (CMS)?
The Lisa Gwynn has been assigned the NPI (National Provider Identifier) 1407848682. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Lisa Gwynn is physically located?
The Lisa Gwynn is physically situated at the following address: 4651 Sheridan St., Hollywood, FL, 330213422.
What is Lisa Gwynn's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Lisa Gwynn is Pediatrics, and the taxonomy code that classifies this field of practice is 208000000X.
On what date did the Lisa Gwynn receive the assignment of its 1407848682 from the Centers for Medicare & Medicaid Services?
The Lisa Gwynn was issued its 1407848682 by the Centers for Medicare & Medicaid Services on 2005-08-16.
When was the information pertaining to Lisa Gwynn most recently updated or revised?
The details related to Lisa Gwynn, including its address, specialty, and other relevant information, were last updated or revised on 2008-11-10.