Lisa A Garner, MD

Individual provider Active NPI Dermatology Physician · Belleair, FL

NPI 1982664280 · NPPES record last updated Feb 18, 2022

Key facts

NPI
1982664280
Entity type
Individual (NPI type 1)
Primary specialty
Dermatology Physician 207N00000X
License
ME132751 (FL)
Practice address
401 Corbett St Ste 200
Belleair, FL 33756-7302
Phone
(727) 250-1115
Fax
(727) 475-9015
NPI assigned
Mar 23, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME132751FLMDDermatology Physician

Practice roles (2 of 4)

OrganizationSpecialtyStatusNew patients
Pediatric Dermatology of No. TX Past Accepting new patients
Anne T. Tuveson, MD PA Dermatology Past
since Sep 29, 2010
Accepting new patients

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME132751 FL Yes

Addresses

Primary practice location

401 Corbett St Ste 200
Belleair, FL 33756-7302

Mailing address

4919 Memorial Hwy Ste 150
Tampa, FL 33634-7516
Phone (813) 333-1512

Other identifiers

IdentifierTypeStateIssuer
110175500MedicaidFL

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address lgarner@dmp.emadirect.md Direct

Other providers in Belleair, FL

All providers in Belleair, FL · Dermatology Physician in Florida

Sources for this page

Verify at the official NPI Registry.