Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lisa a Scudder DO PA

Organization Family Medicine Physician · NPI 1477542769

Lisa a Scudder DO PA is a Family Medicine Physician in Tampa, Florida. Licensed in Florida. Registered with an NPI since 2005.

Licensed in
FL
In the registry since
2005
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2901 W Busch Blvd Ste 403 Ste 403
Tampa, FL 33618-4566
Phone: (813) 931-3999
Fax: (813) 931-3999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OS7188 (FL)

Record details

NPI number1477542769
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Scudder — President Physician · (813) 931-3999
NPI enumeratedOctober 19, 2005
Last updated in NPPESOctober 8, 2014
Mailing address2901 W Busch Blvd, Suite 403, Tampa, FL 33618-4523

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