LISA WHIMS-SQUIRES, D.O., PA
Osteopathic Medicine at Fort Harrison Ave, Clearwater, FL

License number
Florida OS6918
Category
Osteopathic Medicine
Type
Pulmonary Disease
Owner
Name: DR. LISA A WHIMS-SQUIRES D.O.
Title: P.A.
Phone: (727) 466-9847
Address
Address 2
1305 S Fort Harrison Ave, Clearwater, FL 33756
2840 W Bay Dr SUITE 273, Largo, FL 33770
National Provider ID: 1477592426
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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LISA A. WHIMS-SQUIRES, D.O., PA

2840 W Bay Dr #273, Largo, FL 33770

Status:
Inactive
Industry:
Osteopathic Physician's Office
Registration:
May 22, 2002
State ID:
P02000056976
Business type:
Florida Profit Corporation
Principals:
Whims-Squires, Lisa Ado, 207 Driftwood Ln, Largo, FL 33770 (Physical),Lisa A. Whims-Squires (Chairman, President, Treasurer, Secretary),Lisa A Whims Squires Principal, inactive
Agent:
Gyneth Stanley,209 Turner St, Clearwater, FL 33765 (Physical)
EIN:
010695384

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