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

Lisa M Gavosto, APRN

Individual provider Adult Health Nurse Practitioner · NPI 1174853923

Lisa M Gavosto, APRN is a Nurse Practitioner in Tampa, Florida. Qualified in 2009, 17 years ago. Practices with Ohi West Medical Group II LLC, a 409-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
17
Licensed in
FL
In the registry since
2009
Specialties on file
3
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

3000 Medical Park Dr Ste 150
Tampa, FL 33613-4680
Phone: (813) 977-2020
Fax: (813) 355-5010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN9190830 (FL)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence ARNP9190830 (FL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APRN9190830 (FL)

Record details

NPI number1174853923
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedDecember 29, 2009
Last updated in NPPESSeptember 21, 2023
Certification dateSeptember 21, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Ohi West Medical Group Ii Llc — 409 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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