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Individual

LISA A GARNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
401 CORBETT ST STE 200, BELLEAIR, FL 33756-7302
(727) 250-1115
(727) 475-9015
Mailing address
4919 MEMORIAL HWY STE 150, TAMPA, FL 33634-7516
(813) 333-1512
(813) 333-1561

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME132751
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110175500
FL
Enumeration date
03/23/2006
Last updated
02/18/2022
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