Organization
LISA WHIMS-SQUIRES, D.O., PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA A WHIMS-SQUIRES D.O. (P.A.)
(727) 466-9847
Entity
Organization
Contact information
Practice address
1305 S FORT HARRISON AVE, BLDG. G, CLEARWATER, FL 33756-3301
(727) 466-9847
(727) 466-0346
Mailing address
2840 W BAY DR, SUITE 273, BELLEAIR BLUFFS, FL 33770-2620
(727) 466-9847
(727) 466-0346
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
OS6918
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110241957
RRMEDICARE
FL
05
—
256024100
—
FL
01
—
259527
AVMED
FL
01
—
2799257
AETNA
FL
01
—
3617741
CIGNA
FL
01
—
44392
BC
FL
01
—
AMERIGROUP
223693
FL
01
—
FIRST HEALTH
1745733
FL
01
—
UNITED HEALTH
4885700
FL
Enumeration date
06/05/2006
Last updated
01/06/2010
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