person
Ms. Lissette M Medina, PA-C
Surgical Physician Assistant in Miami, Florida
NPI 1154696011

Lissette M Medina is a Surgical Physician Assistant based in Miami, FL and is specialized in Surgical. Lissette M Medina practices in Miami, FL and has the professional credentials of PA-C. The NPI Number for Lissette M Medina is 1154696011 and holds a License No. PA9105170 (Florida).

The current practice location address for Lissette M Medina is 3100 Sw 62Nd Ave, Miami, FL and can be reached out via phone at 305-662-8366.

Location: 3100 Sw 62Nd Ave, Miami, FL, 33155-3009
person
Provider Profile Details
NPI Number
1154696011
Provider Name
Lissette M Medina
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
3100 Sw 62Nd Ave, Miami, FL, 33155-3009
Phone Number
305-662-8366
Fax Number
Provider Enumeration Date
03/12/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3100 Sw 62Nd Ave
City
State
Zip
33155-3009
Phone Number
305-662-8366
Fax Number
person
Provider Business Mailing Address Details
Address
3100 Sw 62Nd Ave
City
State
Zip
33155-3009
Phone Number
305-662-8366
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA9105170 (Florida)
Definition
Definition to come...
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