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

MS. Lisa Bethany Marshall, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1225398852

MS. Lisa Bethany Marshall, PHYSICIANASSISTANT is a Physician Assistant in Pembroke Pines, Florida. Qualified in 2009, 17 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
17
Licensed in
FL
In the registry since
2012
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Practice location Address checks out

15800 Pines Blvd Ste 325
Pembroke Pines, FL 33027-1212
Phone: (754) 273-0885
Fax: (866) 610-8782
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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 PA9106430 (FL)

Record details

NPI number1225398852
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorYes
NPI enumeratedMay 16, 2012
Last updated in NPPESFebruary 21, 2025
Certification dateFebruary 13, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Pembroke Pines