Individual
LISA S GAMELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3242 COVE BEND DR, TAMPA, FL 33613-2752
(813) 265-6940
(813) 908-3937
Mailing address
3242 COVE BEND DR, TAMPA, FL 33613-2752
(813) 265-6940
(813) 908-3937
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME 99976
FL
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
ME99976
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11299
BLUE CROSS BLUE SHIELD
FL
05
—
280206600
—
FL
Enumeration date
11/23/2005
Last updated
10/15/2020
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