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

Dr. Mel Timtiman Lizaso, MD

Individual provider Radiation Oncology Physician · NPI 1215497789

Dr. Mel Timtiman Lizaso, MD is a Radiation Oncology in Port St Lucie, Florida. Qualified in 2019, 7 years ago. Practices with Martin Memorial Medical Center Inc, a 516-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
7
Licensed in
FL
In the registry since
2019
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1095 NW Saint Lucie West Blvd
Port St Lucie, FL 34986-1719
Phone: (772) 288-5890
Show map & directions

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

Additional practice locations (2)

  • 501 Se Osceola St, Stuart, FL 34994-2301 — (772) 288-5890
  • 3555 10th Ct, Vero Beach, FL 32960-5013 — (772) 288-5890

Specialties & licences

Radiation Oncology Physician (primary) Taxonomy 2085R0001X · Licence ME169611 (FL)

Record details

NPI number1215497789
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 21, 2019
Last updated in NPPESAugust 7, 2024
Certification dateAugust 7, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyRADIATION ONCOLOGY
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Martin Memorial Medical Center Inc — 516 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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