MS. Lissette M Medina, PA-C is a surgical physician assistant in Miami, FL. MS. Lissette M Medina, PA-C NPI is 1154696011. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
3100 SW 62ND AVE
MIAMI, FL
ZIP 33155-009
Phone: (305) 662-8366
The NPI 1154696011 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 3/12/2012 and was last updated on 3/12/2012.