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

Lisa Tack, PA-C

Individual provider Physician Assistant · NPI 1568835189

Lisa Tack, PA-C is a Physician Assistant in Delray Beach, Florida. Qualified in 2015, 11 years ago. Practices with Adam S Plotkin MD PA, an 11-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
11
Licensed in
FL
In the registry since
2015
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

5210 Linton Blvd Ste 207
Delray Beach, FL 33484-6537
Phone: (561) 559-1516
Fax: (561) 270-3928
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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 PA9109250 (FL)

Record details

NPI number1568835189
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 4, 2015
Last updated in NPPESJune 20, 2025
Certification dateJune 20, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Adam S Plotkin Md Pa — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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