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LISA A SCUDDER DO PA
NPI 1477542769
Family Medicine in Tampa, FL

Active since October 19, 2005
2901 W BUSCH BLVD STE 403, SUITE 403, TAMPA, FL 33618(813) 931-3999(813) 931-3999 Get Directions Write a Review

NPPES record last updated: October 8, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lisa A Scudder Do Pa NPPES

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

LISA A SCUDDER DO PA (NPI 1477542769) is a healthcare organization registered as a family medicine in Tampa, Florida and active in the NPI registry since October 2005. The organization lists Lisa Ann Scudder, President Physician, as its authorized official.

NPPES Registry Identity

NPI1477542769
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLISA A SCUDDER DO PA
Location Address2901 W BUSCH BLVD STE 403, SUITE 403Tampa, FL 33618-4566
Mailing Address2901 W Busch Blvd, Suite 403Tampa, FL 33618-4523 · (813) 931-3999 · Fax (813) 936-7147
Phone(813) 931-3999
Fax(813) 931-3999
Organization SubpartNo
Authorized OfficialLisa Ann ScudderPresident Physician · (813) 931-3999
Enumeration DateOctober 19, 2005
Last NPPES UpdateOctober 8, 2014
✔ NPI 1477542769 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 · OS7188
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.
2901 W BUSCH BLVD STE 403, Tampa, FL 33618
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Other Identifiers 3

Medicare UPING25491
Medicare ID-Type Unspecified57292AFL
Medicaid379545400FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 A Scudder Do PA's NPI number?

The NPI number for Lisa A Scudder Do PA is 1477542769. It was assigned to this organization in the NPPES registry on October 19, 2005.

Where is Lisa A Scudder Do PA located?

Lisa A Scudder Do PA is located at 2901 W Busch Blvd Ste 403 Suite 403, Tampa, FL 33618. The listed phone number is (813) 931-3999.

What is Lisa A Scudder Do PA'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 A Scudder Do PA was last updated on October 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.