Individual
MS. LISA KAREN PEZZULLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRTT
Contact information
Practice address
10547 SW SUNRAY ST, PORT ST LUCIE, FL 34987-7721
(954) 649-4587
(727) 674-1816
Mailing address
10547 SW SUNRAY ST, PORT ST LUCIE, FL 34987-7721
(954) 649-4587
(727) 674-1816
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
TT8731
FL
2278H0200X
Home Health Certified Respiratory Therapist
Primary
TT8731
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012962100
—
FL
Enumeration date
02/29/2008
Last updated
07/16/2025
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