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

Wesly J Lisme

Individual provider Physician Assistant · NPI 1871298844

Wesly J Lisme is a Physician Assistant in Valrico, Florida. Licensed in Florida and Puerto Rico. Registered with an NPI since 2023.

Licensed in
FL, PR
In the registry since
2023
Specialties on file
3

Practice location Address checks out

1426 Bloomingdale Ave
Valrico, FL 33596-6110
Phone: (813) 684-8020
Fax: (813) 684-8206
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence TPPA452 (FL)
Physician Assistant Taxonomy 363A00000X · Licence 1367PA (PR)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 1367PA (PR)

Record details

NPI number1871298844
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 31, 2023
Last updated in NPPESMarch 31, 2023
Certification dateMarch 31, 2023
Mailing address109 Lake Emerald Dr Apt 202, Oakland Park, FL 33309-6205

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