Lisa Bishop

NPI 1235166539 · on the registry since 2006

Practice

Address: 165 Southpark Blvd
St Augustine, FL 32086
Phone: (904) 824-7597
Organisation at this address: Fm Medical
Fm Medical Clinic Llc
Avanti Wellness Center Inc
Avanti Wellness Center Inc
St Johns Biomedical Laboratories Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 10

Registry record

Primary taxonomy: 101YM0800X
101YM0800X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida