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Organization
LISA A AMATO OD PA
Active
Organization
LISA A AMATO OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA A AMATO OD (OWNER)
(813) 620-4721
Entity
Organization
Contact information
Practice address
10150 BLOOMINGDALE AVE, RIVERVIEW, FL 33578-3612
(813) 620-4721
Mailing address
1615 CANOPY OAKS BLVD, PALM HARBOR, FL 34683-6163
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
NULL
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
01/31/2022
Last updated
01/31/2022
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