Provider Demographics
NPI:1447315171
Name:WILDCATT, LISA ANNE FRANCESCHINI (MD)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:ANNE FRANCESCHINI
Last Name:WILDCATT
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:LISA
Other - Middle Name:ANNE
Other - Last Name:FRANCESCHINI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2995 DREW ST
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33759-3012
Mailing Address - Country:US
Mailing Address - Phone:727-315-7496
Mailing Address - Fax:
Practice Address - Street 1:901 E BLOOMINGDALE AVE # 501
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-8118
Practice Address - Country:US
Practice Address - Phone:813-699-3995
Practice Address - Fax:813-315-1625
Is Sole Proprietor?:No
Enumeration Date:2006-12-22
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200301080208000000X
FLME100761208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL002474700Medicaid
NC5900090Medicaid