Mrs. Lisa K. Bork
Nurse Practitioner - Pediatrics Nurse Practitioner - Family Medicine
1665 Sw Highway 484 Ste 105
Ocala
, Florida 34473-1996
Mrs. Lisa K. Bork
Nurse Practitioner - Pediatrics Nurse Practitioner - Family Medicine
1665 Sw Highway 484 Ste 105
Ocala
, Florida 34473-1996
(904) 288-5890
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Mrs. Lisa K. Bork
- Nemours Childrens Clinic P.o. Box 404112
- Atlanta, GA
- Zip : 30384-0001
- Fax : (904) 288-5890
- Phone : (904) 390-3610
Second Address
- Mrs. Lisa K. Bork
- 1665 Sw Highway 484 Ste 105
- Ocala, FL
- Zip : 34473-1996
- Fax : (352) 693-5805
- Phone : (352) 693-5900
Reviews
FAQs
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What type of doctor is Mrs. Lisa K. Bork
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Is Mrs. Lisa K. Bork a sole practitioner?
Is Mrs. Lisa K. Bork accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | 9466961 | FL |
| N | 363LP0200X | Nurse Practitioner - Pediatrics | L10018050 | DE |
National Provider Identifier
| NPI | 1013008390 |
|---|---|
| Provider Name | Mrs. Lisa K. Bork |
| First Address | Atlanta, GA 30384-0001 |
| Second Address | Ocala, FL 34473-1996 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/09/2006 |
| Last Update Date | 28/06/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0023825 | (05) | NJ |
| 4039858 | (05) | MD |
| Q13129 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.