Individual
LISA F MINTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
661 E ALTAMONTE DR STE 231, ALTAMONTE SPRINGS, FL 32701-5102
(407) 303-5214
(407) 303-5215
Mailing address
661 E ALTAMONTE DR STE 231, ALTAMONTE SPRINGS, FL 32701-5102
(407) 303-5214
(407) 303-5215
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
35-070018
OH
208600000X
Surgery Physician
Primary
ME97216
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277000800
—
FL
01
—
59041
BCBS
FL
01
—
P00387709
RAILROAD MEDICARE
—
Enumeration date
09/13/2006
Last updated
12/04/2020
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