Provider Demographics
NPI:1295257459
Name:CASINGAL, LISA (ARNP)
Entity type:Individual
Prefix:MRS
First Name:LISA
Middle Name:
Last Name:CASINGAL
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7389 GATHERING CT
Mailing Address - Street 2:
Mailing Address - City:REUNION
Mailing Address - State:FL
Mailing Address - Zip Code:34747-6796
Mailing Address - Country:US
Mailing Address - Phone:954-849-0524
Mailing Address - Fax:
Practice Address - Street 1:601 E ROLLINS ST
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-1248
Practice Address - Country:US
Practice Address - Phone:954-849-0524
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-10
Last Update Date:2017-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2222112363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health