| Gabrielle Alexis Lisbon, | |
|
301 S West Crown Point Rd Ste 120, Winter Garden, FL 34787-2916 | |
| (407) 297-8408 | |
| Not Available |
| Full Name | Gabrielle Alexis Lisbon |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 301 S West Crown Point Rd Ste 120, Winter Garden, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215767660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 11034463 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventhealth Orlando | Orlando, FL | Hospital |
| Orlando Health-health Central Hospital | Ocoee, FL | Hospital |
| Orlando Health Orlando Regional Medical Center | Orlando, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| West Orange Nephrology Llc | 8325016397 | 5 |
| Entity Name | West Orange Nephrology LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578534749 PECOS PAC ID: 8325016397 Enrollment ID: O20040918000031 |
| Mailing Address | Practice Location Address |
|---|---|
| Gabrielle Alexis Lisbon, 301 S West Crown Point Rd Ste 120, Winter Garden, FL 34787-2916 Ph: (407) 297-8408 | Gabrielle Alexis Lisbon, 301 S West Crown Point Rd Ste 120, Winter Garden, FL 34787-2916 Ph: (407) 297-8408 |
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