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

Lisa M Disanto DO PA

Organization Family Medicine Physician · NPI 1750680807

Lisa M Disanto DO PA is a Family Medicine Physician in St Petersburg, Florida. Licensed in Florida. Registered with an NPI since 2011.

Licensed in
FL
In the registry since
2011
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

6776 54th Ave N Ste A
St Petersburg, FL 33709-1405
Phone: (727) 548-8500
Fax: (727) 548-9800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OS5732 (FL)

Record details

NPI number1750680807
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Disanto — President · (727) 548-8500
NPI enumeratedMarch 15, 2011
Last updated in NPPESMarch 15, 2011
Mailing address6776 54th Ave N, Suite A, St Petersburg, FL 33709-1405

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