Individual
LISA M SARTORI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.C.
Contact information
Practice address
700 DOCTORS CT, LEESBURG, FL 34748-7314
(352) 787-9838
(352) 787-8705
Mailing address
PO BOX 3130, OCALA, FL 34478-3130
(352) 369-0286
(352) 867-5076
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9102411
FL
363AS0400X
Surgical Physician Assistant
Primary
PA9102411
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00702088
RR MEDICARE
FL
05
—
PENDING
—
FL
01
—
U2339
BCBSFL
FL
01
—
Y04KN
BCBS OF FLORIDA
FL
Enumeration date
12/26/2006
Last updated
05/02/2018
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