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

Individual provider Medical Physician Assistant · NPI 1275009631

Michelle Nicole Lastra, PA-C is a Physician Assistant in Riverview, Florida. Qualified in 2018, 8 years ago. Practices with Synergic Healthcare Solutions LLC, a 96-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
8
Licensed in
FL
In the registry since
2018
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

13134 Early Run Ln
Riverview, FL 33578-3387
Phone: (813) 481-8969
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3301 W Gandy Blvd, Tampa, FL 33611-2931 — (813) 925-1903

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 9111768 (FL)

Record details

NPI number1275009631
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedOctober 23, 2018
Last updated in NPPESMay 19, 2026
Certification dateMay 19, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Synergic Healthcare Solutions Llc — 96 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Riverview