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LISA ANN DYNAN-DOBBERTIEN D.O.
NPI 1255306627
Family Medicine in Orange Park, FL

Active since February 21, 2006
3229 BEAR RUN BLVD, CLAY COUNTY HEALTH DEPT -BLDG A, ORANGE PARK, FL 32065(904) 213-3202(904) 272-4353 Get Directions Write a Review

NPPES record last updated: February 4, 2011. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Lisa Ann Dynan-dobbertien D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA ANN DYNAN-DOBBERTIEN D.O. (NPI 1255306627) is an individual family medicine provider in Orange Park, Florida, licensed in Florida (OS6382) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1255306627
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameLISA ANN DYNAN-DOBBERTIENCredential: D.O.
Location Address3229 BEAR RUN BLVD, CLAY COUNTY HEALTH DEPT -BLDG AOrange Park, FL 32065
Mailing AddressPo Box 578, Clay County Health DepartmentGreen Cove Springs, FL 32043-0578 · (904) 529-2800 · Fax (904) 529-2802
Phone(904) 213-3202
Fax(904) 272-4353
Sole ProprietorNo
Enumeration DateFebruary 21, 2006
Last NPPES UpdateFebruary 4, 2011
✔ NPI 1255306627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · OS6382
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3229 BEAR RUN BLVD, Orange Park, FL 32065
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Other Identifiers 4

Medicare UPIN8483FL
Medicare ID-Type Unspecified57115XFL
Medicaid377329900FL
Medicare PIN57115TFL

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DONNA H. WYNN ARNP
Nurse Practitioner (Obstetrics & Gynecology)
3229 BEAR RUN BLVD, BLDG B
ORANGE PARK, FL 32065
Clay County (904) 269-6340
CLORIDE MILLER M.D.
Pediatrics
3229 BEAR RUN BLVD, BLDG A
ORANGE PARK, FL 32065
Clay County (904) 269-6340
MRS. TANYA ELIZABETH WEST ARNP
Nurse Practitioner (Family)
3229 BEAR RUN BLVD
ORANGE PARK, FL 32065
Clay County (904) 529-2800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Dynan-dobbertien's NPI number?

The NPI number for Lisa Dynan-dobbertien is 1255306627. It was assigned to this individual provider in the NPPES registry on February 21, 2006.

Where is Lisa Dynan-dobbertien located?

Lisa Dynan-dobbertien practices at 3229 Bear Run Blvd Clay County Health Dept -Bldg A, Orange Park, FL 32065. The listed phone number is (904) 213-3202.

What is Lisa Dynan-dobbertien's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Lisa Dynan-dobbertien was last updated on February 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.