LISA M. PETRICA-MOSER, PH.D. INC. (NPI# 1104362979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104362979 |
| Entity Type | Organization |
| Organization Name | LISA M. PETRICA-MOSER, PH.D. INC. |
| Practice Address |
2727 W Dr Martin Luther King Jr Blvd Tampa FL 33607-6383 |
| Mailing Address |
1790 Captiva Dr Oldsmar FL 34677-5220 |
| Practice Telephone | 7272445975 |
| Mailing Telephone | 7272445975 |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2017-01-17 |
| Authorized Official Name | DR. LISA MARI MOSER (LICENSED PSYCHOLOGIST) |
| Authorized Official Telephone | 7272445975 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
PY5976 | FL | Ambulatory Health Care Facilities |
| Street Address |
2727 W DR MARTIN LUTHER KING JR BLVD |
| City | TAMPA |
| State | FL |
| Zip Code | 33607-6383 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386647725 | Thomas Lee Greene | Orthopaedic Surgery | 2727 W Dr Martin Luther King Jr Blvd, Ste 560, Tampa, FL 33607-6009 | 2005-05-31 |
| 1881225613 | Meghan Lee Jordan | Nurse Practitioner | 2727 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6383 | 2020-01-30 |
| 1689117657 | Emily Renee Monahan | Specialist/Technologist, Other | 2727 W Dr Martin Luther King Jr Blvd, Suite 320, Tampa, FL 33607-6383 | 2016-11-23 |
| 1598112765 | James Patrick Coyne | Nurse Practitioner | 2727 W Dr Martin Luther King Jr Blvd, Suite 700, Tampa, FL 33607-6383 | 2016-05-18 |
| 1730547894 | Bhumika N Patel | Physician Assistant | 2727 W Dr Martin Luther King Jr Blvd, Ste 450, Tampa, FL 33607-6383 | 2016-02-04 |
| 1508223728 | Camille Aubrey Dupont | Physician Assistant | 2727 W Dr Martin Luther King Jr Blvd, Ste. 320, Tampa, FL 33607-6383 | 2016-01-19 |
| 1336504174 | Jenny Carter | Physician Assistant | 2727 W Dr Martin Luther King Jr Blvd, Ste 320, Tampa, FL 33607-6383 | 2015-12-21 |
| 1427429828 | Akel Dental of Tampa Pllc | Dentist | 2727 W Dr Martin Luther King Jr Blvd, Suite 120, Tampa, FL 33607-6383 | 2015-10-12 |
| 1821499435 | Kristen Michelle Thompson | Nurse Anesthetist, Certified Registered | 2727 W Dr Martin Luther King Jr Blvd, Suite 310, Tampa, FL 33607-6383 | 2014-09-15 |
| 1760824429 | Mary Montsko Md LLC | Family Medicine | 2727 W Dr Martin Luther King Jr Blvd, Suite 800, Tampa, FL 33607-6383 | 2013-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326656265 | Sky City Pharmacy LLC | Pharmacy | 2812 W. Dr Martin Luther King Jr Blvd, Tampa, FL 33607 | 2020-07-16 |
| 1821614413 | Tammy Sue Alleyn | Social Worker | 4414 N. Armenia Av., Tampa, FL 33607 | 2020-06-19 |
| 1912528290 | Advanced Mobile Medical Services | Clinic/Center | 2136 W. Mlk Blvd, Tampa, FL 33607 | 2020-04-28 |
| 1659909232 | Rachel Sobiech | Social Worker | 2006 Pan Am Circle, Suite 270, Tampa, FL 33607 | 2020-03-30 |
| 1295379733 | Melizza Liz Sanchez Ayala | Registered Nurse | 1701 N Lois Avenue, Valera Apt Unit 224, Tampa, FL 33607 | 2019-10-28 |
| 1720647191 | Caretyme LLC | Clinic/Center | 1923 West St. John Street, Tampa, FL 33607 | 2019-06-10 |
| 1720545981 | Amante Medical and Diabetic Center, P.a. | Internal Medicine | 1001 N Macdill Ave. Suite B, Tampa, FL 33607 | 2019-02-25 |
| 1609360908 | Misty Dawn Ray Ross | Social Worker | 2902 N Armenia Ave Ste 200, Tampa, FL 33607 | 2018-06-20 |
| 1255825154 | Kenneth Konrad Schirer | Physical Therapist | 2700 W Dr. Mlk Blvd, Suite 300, Tampa, FL 33607 | 2018-06-14 |
| 1902314875 | Cardiac Cin of Florida, LLC | Internal Medicine | 3001 W Martin Luther King Jr Blvd, Tampa, FL 33607 | 2018-01-13 |
| Find all providers in zip 33607 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790397479 | Eloy Franco Md LLC | Clinic/Center | 7320 E Fletcher Ave Ste 108, Tampa, FL 33637-0916 | 2020-08-23 |
| 1275166563 | Masagana | Clinic/Center | 9315 N 16th St, Tampa, FL 33612-8655 | 2020-02-15 |
| 1952734972 | Caroline Seignon | Clinic/Center | 20205 Autumn Fern Ave, Tampa, FL 33647 | 2013-08-13 |
| 1902425390 | Kris Mulhollen LLC | Clinic/Center | 1200 W Platt St Ste 202, Tampa, FL 33606-2136 | 2020-04-15 |
| 1952960684 | Rosana Marzullo-dove, Psyd, LLC | Clinic/Center | 912 W Platt St Ste 101, Tampa, FL 33606-2108 | 2019-06-06 |
| 1407412075 | Healthy Mind, Corp | Clinic/Center | 1200 W Platt St Ste 202, Tampa, FL 33606-2136 | 2019-05-19 |
| 1417467283 | James A. Haley Va | Clinic/Center | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2017-10-06 |
| 1750816054 | Rpa Healthcare LLC | Clinic/Center | 3010 E 138th Ave, Suite 7, Tampa, FL 33613-3904 | 2017-04-24 |
| 1912370594 | Tampa Life Change | Clinic/Center | 720 W Dr Martin Luther King Jr Blvd, Suite B, Tampa, FL 33603-3134 | 2015-11-04 |
| 1982089561 | Dr. Maryam Behdarvandi | Clinic/Center | 2908 W Waters Ave Ste 101, Tampa, FL 33614-1874 | 2015-07-24 |
| Find all providers in TAMPA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.