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LISA EDGERTON DO PA
NPI 1366615254
Family Medicine - Adult Medicine in Miami Shores, FL

Active since April 11, 2008
114 NE 107TH ST, MIAMI SHORES, FL 33161(786) 390-8684(305) 654-5270 Get Directions Write a Review

NPPES record last updated: April 11, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lisa Edgerton Do Pa NPPES

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

LISA EDGERTON DO PA (NPI 1366615254) is a healthcare organization registered as an adult medicine in Miami Shores, Florida and active in the NPI registry since April 2008. The organization lists Lisa M Edgerton, President, as its authorized official.

NPPES Registry Identity

NPI1366615254
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameLISA EDGERTON DO PA
Location Address114 NE 107TH STMiami Shores, FL 33161-7032
Mailing Address114 Ne 107th StMiami Shores, FL 33161-7032 · (786) 390-8684 · Fax (305) 654-5270
Phone(786) 390-8684
Fax(305) 654-5270
Organization SubpartNo
Authorized OfficialLisa M EdgertonPresident · (786) 390-8684
Enumeration DateApril 11, 2008
✔ NPI 1366615254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in FL · OS 8636
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
114 NE 107TH ST, Miami Shores, FL 33161
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

LISA EDGERTON
Internal Medicine
114 NE 107TH ST
MIAMI SHORES, FL 33161
Miami-Dade County (305) 629-2669

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Edgerton Do PA's NPI number?

The NPI number for Lisa Edgerton Do PA is 1366615254. It was assigned to this organization in the NPPES registry on April 11, 2008.

Where is Lisa Edgerton Do PA located?

Lisa Edgerton Do PA is located at 114 NE 107th St, Miami Shores, FL 33161. The listed phone number is (786) 390-8684.

What is Lisa Edgerton Do PA's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

When was this NPI record last updated?

The NPPES record for Lisa Edgerton Do PA was last updated on April 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.