Lisa Gerhart

Individual provider Active NPI Attendant Care Provider · Duette, FL

NPI 1093673766 · NPPES record last updated Jan 12, 2026

Key facts

NPI
1093673766
Entity type
Individual (NPI type 1)
Primary specialty
Attendant Care Provider 3747A0650X
Practice address
8120 Keen Cemetery Rd
Duette, FL 34219-5927
Phone
(813) 395-2107
Fax
(813) 395-2107
NPI assigned
Jan 12, 2026
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Attendant Care Provider 3747A0650X Yes

Addresses

Primary practice location

8120 Keen Cemetery Rd
Duette, FL 34219-5927

Mailing address

8120 Keen Cemetery Rd
Duette, FL 34219-5927
Phone (813) 395-2107

Other providers in Duette, FL

All providers in Duette, FL · Attendant Care Provider in Florida

Sources for this page

Verify at the official NPI Registry.