MS. LISA PERMENTER (NPI# 1316273733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316273733 |
| Entity Type | Individual |
| Full Name | MS. LISA PERMENTER |
| Credential | ARNP |
| Practice Address |
11555 Central Pkwy Suite 304 Jacksonville FL 32224-2691 |
| Mailing Address |
7855 Argyle Forest Blvd Suite 101 Jacksonville FL 32244-5596 |
| Practice Telephone | 9042657755 |
| Practice Fax Number | 9042657754 |
| Mailing Telephone | 9042826331 |
| Mailing Fax Number | 9042824117 |
| Enumeration Date | 2009-10-20 |
| Last Update Date | 2014-01-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1457332 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 001566300 | 05 |
| Street Address |
11555 CENTRAL PKWY SUITE 304 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32224-2691 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265426829 | Luis U Ramirez | Internal Medicine | 11555 Central Pkwy, Ste 200, Jacksonville, FL 32224-2691 | 2005-09-09 |
| 1760880165 | Lauren Timney | Psychologist | 11555 Central Pkwy, Suite 704, Jacksonville, FL 32224-2691 | 2014-12-17 |
| 1346565215 | Ashley L Horn | Nurse Practitioner | 11555 Central Pkwy, Suite 201, Jacksonville, FL 32224-2691 | 2010-04-02 |
| 1679897243 | Luis U Ramirez Md Pa | Internal Medicine | 11555 Central Pkwy, Ste 200, Jacksonville, FL 32224-2691 | 2010-03-25 |
| 1740418243 | Charles Travis Greenley | Physician Assistant | 11555 Central Pkwy, Suite 304, Jacksonville, FL 32224-2691 | 2009-06-24 |
| 1679716344 | Haitao Zhang | Internal Medicine | 11555 Central Pkwy, Suite 304, Jacksonville, FL 32224-2691 | 2009-04-10 |
| 1245425065 | Dima Nassour Nassour | Internal Medicine | 11555 Central Pkwy, Suite 204, Jacksonville, FL 32224-2691 | 2007-09-14 |
| 1801000161 | Ferdinand Joseph Formoso | Physical Medicine & Rehabilitation | 11555 Central Pkwy, Suite 304, Jacksonville, FL 32224-2691 | 2007-05-09 |
| 1326050105 | Jose P Vindas Cordero | Specialist | 11555 Central Pkwy, Suite 204, Jacksonville, FL 32224-2691 | 2006-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356974372 | Noelle Parker | Specialist/Technologist | 1 Unf Drivve, Jacksonville, FL 32224 | 2020-02-18 |
| 1124685102 | Charcy Rene Stiller | Specialist/Technologist | 1 Unf Dr., Jacksonville, FL 32224 | 2019-05-24 |
| 1265097513 | Mayo Clinic Jacksonville | Ambulance | 13970 Zumbro Dr, Jacksonville, FL 32224 | 2019-05-02 |
| 1639681471 | Brigantti Anesthesia & Spine Care | Clinic/Center | 1361 13th Ave South Suite #210, Jacksonville, FL 32224 | 2017-11-02 |
| 1093240061 | Beric Emilio Berlioz | Anesthesiology | 4500 San Pablo Rd S # J, Jacksonville, FL 32224 | 2017-04-26 |
| 1609240746 | Matthew James Dailey | Nurse Anesthetist, Certified Registered | 2500 San Pablo Rd S, Jacksonville, FL 32224 | 2015-11-29 |
| 1003299603 | Upscale Personal Care Home | Assisted Living Facility | 4375 Autumn River Road, Jacksonville, FL 32224 | 2015-07-01 |
| 1629459375 | Bellanid Fonseca | Social Worker | 3694 Summerlin Ln E, Jacksonville, FL 32224 | 2015-06-17 |
| 1164840500 | Nicholas Scotto | Physical Therapist | 11555 Central Pkwy Ste 1104, Jacksonville, FL 32224 | 2014-04-02 |
| 1497093454 | Quicker Care Urgent Care | Point of Service | 13770 Beach Blvd., Unit # 4, Jacksonville, FL 32224 | 2013-01-27 |
| Find all providers in zip 32224 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293868 | Maria Fe Guboc Rufano-sulit | Nurse Practitioner | 3682 Summerlin Ln, Jacksonville, FL 32224-1650 | 2020-10-21 |
| 1346849502 | Caitlin Flott | Nurse Practitioner | 14589 Camberwell Ln S, Jacksonville, FL 32258-1708 | 2020-10-20 |
| 1972101137 | Amanda Brooke Mills | Nurse Practitioner | 8459 Oak Crossing Dr W, Jacksonville, FL 32244-6949 | 2020-10-10 |
| 1649877200 | Shalom Barile | Nurse Practitioner | 1377 Ingleside Ave, Jacksonville, FL 32205-7733 | 2020-10-07 |
| 1013524248 | Claudia Joseph | Nurse Practitioner | 3331 Net Ct, Jacksonville, FL 32277-2735 | 2020-10-01 |
| 1063029577 | Erica Francisca Andrade | Nurse Practitioner | 5475 Turkey Creek Rd, Jacksonville, FL 32244-8549 | 2020-09-29 |
| 1568078418 | Jennifer Ruth Woodard | Nurse Practitioner | 29 Trinity Way, Jacksonville, AL 36265-5813 | 2020-09-16 |
| 1013522309 | William David Michal | Nurse Practitioner | 4417 Chippewa Dr, Jacksonville, FL 32210-6006 | 2020-09-13 |
| 1063025906 | Fabiola Baptiste | Nurse Practitioner | 9143 Philips Hwy Ste 110, Jacksonville, FL 32256-1365 | 2020-08-29 |
| 1295348464 | Debi Cohen | Nurse Practitioner | 11266 Cloverhill Ct, Jacksonville, FL 32257-1438 | 2020-08-27 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32224 |
Please comment or provide details below to improve the information on MS. LISA PERMENTER.
| 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.