Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Lissette M Medina, PA-C

Individual provider Surgical Physician Assistant · NPI 1154696011

MS. Lissette M Medina, PA-C is a Surgical Physician Assistant in Miami, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2012
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

3100 SW 62nd Ave
Miami, FL 33155-3009
Phone: (305) 662-8366
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA9105170 (FL)

Record details

NPI number1154696011
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMarch 12, 2012
Last updated in NPPESMarch 12, 2012

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