Mrs. Lisa Gwynn
DO. | Pediatrics | Female
Mrs. Lisa Gwynn, DO. is a Hollywood, Florida based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Mrs. Lisa Gwynn is
4651 Sheridan St., Suite #270, Hollywood, Florida - 33021-3422. She can be contacted on phone at
954-989-6000 and fax number 954-378-4775.
Mrs. Lisa Gwynn is a sole proprietor of her business.
NPI number (Unique professional ID) for Mrs. Lisa Gwynn is
1407848682 which was assigned by NPPES on 16 Aug, 2005 and it was last updated on 10 Nov, 2008.
Mrs. Lisa Gwynn license number is
0S8394 for Pediatrics (208000000X) in Florida.
Mrs. Lisa Gwynn is a pediatrician who 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 chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Mrs. Lisa Gwynn basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Mrs. Lisa Gwynn |
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| Credential : | DO. |
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| Gender : | Female |
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Business Address:
Mrs. Lisa Gwynn address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 4651 Sheridan St., Suite #270
Hollywood, FL, 33021-3422
United States |
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| Phone Number : | 954-989-6000 |
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| Fax Number : | 954-378-4775 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1407848682 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 16 Aug, 2005 |
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| Last Updated On : | 10 Nov, 2008 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Lisa Gwynn are as mentioned. Primary taxonomy code for Mrs. Lisa Gwynn, DO. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 0S8394 | FL |
Legacy Identifiers:
Other legacy medical identifiers of Mrs. Lisa Gwynn such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 262070700 | MEDICAID | FL | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 4651 Sheridan St., Suite #270
Hollywood, FL, 33021-3422
United States |
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| Phone Number : | 954-989-6000 |
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| Fax Number : | 954-378-4775 |
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Business Location:
Patients can refer following map for directions to
Mrs. Lisa Gwynn practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.