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Individual

LISA MARIE ELIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
2 COLUMBIA DR, SUITE A327, TAMPA, FL 33606-3508
(813) 844-4396
(813) 488-4972
Mailing address
2 COLUMBIA DR, SUITE A327, TAMPA, FL 33606-3508
(813) 844-4396
(813) 488-4972

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
9254500
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
308256300
FL
01
7883889
AETNA PIN
FL
01
G4218
FL BCBS
FL
Enumeration date
03/20/2007
Last updated
06/11/2008
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