LISA GUGLIELMO-PEZONE


Address: 1590 Nw 10th Ave, Suite 404, Boca Raton, FL 33486-1313
Phone: 5613915800

LISA GUGLIELMO-PEZONE (NPI# 1457795809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457795809
Entity Type Individual
Full Name LISA GUGLIELMO-PEZONE
Credential ARNP
Practice Address 1590 Nw 10th Ave
Suite 404
Boca Raton
FL 33486-1313
Mailing Address 4601 Nw 26th Ave
Boca Raton
FL 33434-2557
Practice Telephone 5613915800
Practice Fax Number 5613389251
Mailing Telephone 5618435510
Enumeration Date 2013-04-28
Last Update Date 2013-04-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
ARNP 9194206 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1590 NW 10TH AVE
SUITE 404
City BOCA RATON
State FL
Zip Code 33486-1313

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NPI Name Taxonomy Address Enumeration
1124094800 Steven V. Caridi Family Medicine 1590 Nw 10th Ave, Suite 201, Boca Raton, FL 33486-1313 2006-02-23
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1619213105 Santelli Orthodontics Dentist 1590 Nw 10th Ave, Suite 302, Boca Raton, FL 33486-1313 2013-01-02
1215183652 David L Newman Dentist 1590 Nw 10th Ave, Suite #302, Boca Raton, FL 33486-1313 2008-08-18
1881800142 Robert S Mullaney Dentist 1590 Nw 10th Ave, Suite 303, Boca Raton, FL 33486-1313 2007-05-15
1487860755 John Thomas Hancock Dentist 1590 Nw 10th Ave, Suite 303, Boca Raton, FL 33486-1313 2007-05-15
1710007257 Jose R Delacruz Dentist 1590 Nw 10th Ave, Suite 301, Boca Raton, FL 33486-1313 2007-03-29
1447374434 David L Newman Dds Pa Dentist 1590 Nw 10th Ave, Suite #302, Boca Raton, FL 33486-1313 2007-03-17
1831226778 Russel S Glaun Md Pa Dermatology 1590 Nw 10th Ave, Suite 304, Boca Raton, FL 33486-1313 2007-02-27
1356494330 Rafael Dario Morales Dentist 1590 Nw 10th Ave, Suite 200, Boca Raton, FL 33486-1313 2007-01-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811502800 Med Supplies Rus LLC Durable Medical Equipment & Medical Supplies Med Supplies R Us, LLC, 1489 Pal Metto Park Rd., Suite 509 E, Boca Raton, FL 33486 2020-09-15
1235699547 Ron N/a Goldwaser Occupational Therapist Boca Raton Rehabilitation Center, 755 Meadows Road, Boca Raton, FL 33486 2019-03-22
1982105516 Noa Rivka Schwartz Registered Nurse 801 Meadows Rd Ste 120, Boca Raton, FL 33486 2018-02-28
1437663028 Jasmine Fay Senatus Physician Assistant 5333 Town Center Road, Suite 402, Boca Raton, FL 33486 2017-11-19
1285160440 Mary Lauderdale Developmental Therapist 836 Sw 9th St Circle, Boca Raton, FL 33486 2017-05-10
1932631827 Boca Ri LLC Psychiatric Residential Treatment Facility 1000 Nw 15th St, Boca Raton, FL 33486 2017-03-30
1700317153 Jeffrey Wilson Student in an Organized Health Care Education/Training Program Florida Atlantic University Internal Medicine Residency, 800 Meadows Road, Boca Raton, FL 33486 2017-03-27
1528504354 Megan M Lucas Physician Assistant 5458 Town Center Rd Ste 103, Boca Raton, FL 33486 2017-01-18
1962864280 Annmarie Diazhernandez Nurse Practitioner 951 Nw 13 St Bl 5e, Boca Raton, FL 33486 2016-03-25
1689071078 Djurdja Andrich Nurse Practitioner 1500 Nw 10th Ave #205, Boca Raton, FL 33486 2014-12-01
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386107407 Carrie Dianne Culpepper Nurse Practitioner 7301a W Palmetto Park Rd Ste 100b, Boca Raton, FL 33433-3403 2019-04-08
1376018986 Amani Mufleh Nurse Practitioner 800 Meadows Rd, Boca Raton, FL 33486-2304 2018-10-10

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NPI Name Taxonomy Address Enumeration
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1730780354 Mary Catherine Grissom Nurse Practitioner 2093 Appalachee Cir, Tavares, FL 32778-2001 2020-11-02
1942800974 Justo J Ruiz Nurse Practitioner 11740 Sw 26th Ter, Miami, FL 33175-2451 2020-10-28
1891395208 Jordyn Lee Platt Nurse Practitioner 1820 Coyote Pl, Brandon, FL 33511-1741 2020-10-27
1669071668 Karine Erica Cameron Nurse Practitioner 12028 Sw 12th St, Pembroke Pines, FL 33025-3740 2020-10-21
1306443916 Simmy Regin Varghese Nurse Practitioner 1613 Hammock Grove Ln, Jacksonville, FL 32225-5575 2020-10-06
1891302469 Shannon Bre Anna Watkins Nurse Practitioner 2937 Quantum Lakes Dr, Boynton Beach, FL 33426-8303 2020-09-28
1114534856 Cristina Sandu Nurse Practitioner 19327 Elston Way, Estero, FL 33928-6489 2020-09-27
1215543590 Kam Lieng Lady Nurse Practitioner 12031 Nw 2nd Dr, Coral Springs, FL 33071-8012 2020-09-22
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Competitor

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City BOCA RATON
Zip Code 33486

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Dataset Information

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.

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