Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lisa Edgerton DO PA

Organization Adult Medicine Physician · NPI 1366615254

Lisa Edgerton DO PA is an Adult Medicine Physician in Miami Shores, Florida. Licensed in Florida. Registered with an NPI since 2008.

Licensed in
FL
In the registry since
2008
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

114 NE 107th St
Miami Shores, FL 33161-7032
Phone: (786) 390-8684
Fax: (305) 654-5270
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Medicine Physician (primary) Taxonomy 207QA0505X · Licence OS 8636 (FL)

Record details

NPI number1366615254
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Edgerton — President · (786) 390-8684
NPI enumeratedApril 11, 2008
Last updated in NPPESApril 11, 2008
Mailing address114 Ne 107th St, Miami Shores, FL 33161-7032

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