LISA JANE MOUDGILL
License Number: ME113622
Primary Practice Address
LISA JANE MOUDGILL
13000 BRUCE B. DOWNS BLVD.
TAMPA, FL 33612
Medicaid
This practitioner does NOT participate in the Medicaid program.
Staff Privileges
This practitioner currently holds staff privileges at the following hospital/medical/health institutions:
| Institution Name | City | State |
|---|---|---|
| UNIVERSITY OF SOUTH FLORIDA - COLLEGE OF MEDICINE | TAMPA | FLORIDA |
| TAMPA (JAMES A. HALEY VA MEDICAL CENTER) | TAMPA | FLORIDA |
| UNIVERSITY OF SOUTH FLORIDA ENDOSCOPY & SURGERY CENTER | TAMPA | FLORIDA |
Email Address
Please contact at: lisa.moudgill@va.gov
Other State Licenses
This practitioner has indicated the following additional state licensure:
| State | Profession |
|---|---|
| New Jersey | MEDICAL DOCTOR |
| Pennsylvania | MEDICAL DOCTOR |
Florida Birth-Related Neurological Injury Compensation Association
If you are a Florida Allopathic (MD) or Osteopathic (DO) Physician, you are required to provide proof of payment of the Florida Birth-Related Neurological Injury Compensation Association (NICA) assessment as required by section 766.314, Florida Statutes. Payment of the initial and annual assessment are required of all Florida Allopathic and Osteopathic Physicians who do not qualify for an exemption as set forth in section 766.314(4)(b)4, Florida Statutes.
This practitioner has indicated that he/she is exempt from paying assessment.
Specialty Certification
This practitioner holds the following certifications from specialty boards recognized by the Florida board which regulates the profession for which he/she is licensed:
| Specialty Board | Certification |
|---|---|
| AMERICAN BOARD OF SURGERY | GS - SURGERY |
| AMERICAN BOARD OF COLON & RECTAL SURGERY | CRS - COLON AND RECTAL SURGERY |
Financial Responsibility
Financial Exemption