Individual
DR. LISA JANE DEWITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
6500 FLOTILLA DR, HOLMES BEACH, FL 34217-1464
(941) 778-3525
Mailing address
5300 57TH ST N, BUILDING #1, BIRMINGHAM, AL 35217-3328
(205) 808-3706
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS0007033
FL
Other
Enumeration date
10/13/2006
Last updated
03/13/2014
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