Individual
LISA FAITH GAVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5 TAMPA GENERAL CIR, SUITE 610, TAMPA, FL 33606-3601
(813) 315-4327
(813) 315-4329
Mailing address
5 TAMPA GENERAL CIR, SUITE 610, TAMPA, FL 33606-3601
(813) 315-4327
(813) 315-4329
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AY1862
FL
231H00000X
Audiologist
AZ668
FL
Other
Enumeration date
03/22/2014
Last updated
11/22/2021
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