Provider Demographics
NPI:1255710083
Name:BUZSAKI, LILI ANNA (MD)
Entity type:Individual
Prefix:DR
First Name:LILI
Middle Name:ANNA
Last Name:BUZSAKI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:910 PINELLAS BAYWAY S APT 205
Mailing Address - Street 2:
Mailing Address - City:TIERRA VERDE
Mailing Address - State:FL
Mailing Address - Zip Code:33715-2125
Mailing Address - Country:US
Mailing Address - Phone:201-957-5681
Mailing Address - Fax:
Practice Address - Street 1:2011 N WHEELER ST # 410
Practice Address - Street 2:
Practice Address - City:PLANT CITY
Practice Address - State:FL
Practice Address - Zip Code:33563-1860
Practice Address - Country:US
Practice Address - Phone:201-957-5681
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-26
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1371032083A0300X, 208D00000X
KY12557100832083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No2083A0300XAllopathic & Osteopathic PhysiciansPreventive MedicineAddiction Medicine
No2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine