Individual
DR. LISA A WHIMS-SQUIRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
1305 SOUTH FT. HARRISON AVE., BLDG. G, CLEARWATER, FL 33756
(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
0S6918
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1745733
FIRST HEALTH
FL
05
—
256024100
—
FL
01
—
3617741
CIGNA
FL
01
—
9709589
GHI
DC
Enumeration date
06/15/2006
Last updated
01/06/2010
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