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

Dr. Lisa Marie Derosimo, MDMS

Individual provider Family Medicine Physician · NPI 1013039643

Dr. Lisa Marie Derosimo, MDMS is a Family Medicine Physician in Miami, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007

Practice location Address checks out

11535 SW 88th St
Miami, FL 33176-1002
Phone: (786) 595-8000
Fax: (786) 533-9576
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME 56721 (FL)

Record details

NPI number1013039643
Entity typeIndividual (Type 1)
GenderFemale
Credentials MDMS
Sole proprietorNo
NPI enumeratedApril 4, 2007
Last updated in NPPESJune 18, 2015

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