Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lisa Camille Bonin, PA-C

Individual provider Physician Assistant · NPI 1235177601

Lisa Camille Bonin, PA-C is a Physician Assistant in Venice, Florida. Qualified in 1999, 27 years ago. Practices with Millennium Physician Group LLC, a 970-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
27
Licensed in
FL
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1700 E Venice Ave
Venice, FL 34292-3190
Phone: (941) 483-9760
Fax: (941) 483-9775
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9114636 (FL)

Record details

NPI number1235177601
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJune 4, 2006
Last updated in NPPESMay 23, 2024
Certification dateMay 23, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Millennium Physician Group Llc — 970 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations11 on file with Medicare

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