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1255617783
LISA GODDARD
LARGO, FL
NPI
1255617783
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: FL APRN9327272)
Enumeration Date
2011-10-28
Last Update Date
2024-08-13
Business Address
LISA GODDARD APRN
1395 W BAY DR
LARGO, FL 33770-2205
Phone number: 727-584-6802
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Mailing Address
LISA GODDARD APRN
5364 ELISEO ST
SARASOTA, FL 34238-4791
Phone number: 407-831-6200
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