DR. LISA MARIE DEROSIMO MD MS
NPI 1013039643
Family Medicine in Miami, FL

Q: What is Lisa Derosimo's NPI number?

The NPI number for Lisa Derosimo is 1013039643. It was assigned to this individual provider in the NPPES registry on April 4, 2007.

Q: What is Lisa Derosimo's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Derosimo was last updated on June 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 04, 2007

11535 SW 88TH ST, MIAMI, FL 33176(786) 595-8000(786) 533-9576 Get Directions Write a Review

NPPES record last updated: June 18, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Lisa Marie Derosimo Md Ms NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LISA MARIE DEROSIMO MD MS (NPI 1013039643) is an individual family medicine provider in Miami, Florida, licensed in Florida (ME 56721) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1013039643

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. LISA MARIE DEROSIMOCredential: MD MS

Location Address11535 SW 88TH STMiami, FL 33176-1002

Mailing Address11535 Sw 88th StMiami, FL 33176-1002 · (786) 595-8000 · Fax (786) 533-9576

Phone(786) 595-8000

Fax(786) 533-9576

Sole ProprietorNo

Enumeration DateApril 4, 2007

Last NPPES UpdateJune 18, 2015

✔ NPI 1013039643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in FL · ME 56721

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

11535 SW 88TH ST, Miami, FL 33176

Open in Google Maps ↗

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSE SALVADOR SOZA M.D.

Family Medicine