Lisa E Petitfils, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME79404 Issued in FL

Practice address

1111 7TH Ave N
St Petersburg, FL 33705-1348

Phone

(727) 822-5393

NPI assigned

Aug 12, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353456000000",
    "number": "1619989209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 FAIRWAY AVE S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337124227",
            "telephone_number": "727-867-6174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 7TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337051348",
            "telephone_number": "727-822-5393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETITFILS",
        "first_name": "LISA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2012-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME79404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261764100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Felipe Peterson, DPM
• John A. Peterson, MD
• Larnetta Renne Peterson
• Mitchell Robert Petit, O.D.
• Thomas E Petit, LMHC
• Guy Timothy Petito, O.D.
• Renee Petrie
• Vincent R Petronelli, APRN
• Aleksandra Petrovic, M.D.
• Alexander Petrovich, PHARM.D.

• Pediatrics Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.