Individual
LISA GO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 36TH ST, VERO BEACH, FL 32960-4862
(772) 567-4311
Mailing address
5660 62ND PL, VERO BEACH, FL 32967-5300
(814) 659-1815
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
282956-L
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
45482
FL
Other
Enumeration date
09/22/2006
Last updated
04/26/2023
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