Dr Lisa Marie Derosimo, MD MS - Family Medicine in Miami, FL

Dr Lisa Marie Derosimo, MD MS is a Family Medicine physician based in Miami, Florida. Dr Lisa Marie Derosimo is licensed to practice in Florida (license number ME 56721) and her current practice location is 11535 Sw 88th St, Miami, Florida. She can be reached at her office (for appointments etc.) via phone at (786) 595-8000.

NPI number for Dr Lisa Marie Derosimo is 1013039643 and her current mailing address is 11535 Sw 88th St, Miami, Florida. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1013039643.

Contact Information

Dr Lisa Marie Derosimo, MD MS
11535 Sw 88th St,
Miami, FL 33176-1002
(786) 595-8000
(786) 533-9576



Physician's Profile

Full NameDr Lisa Marie Derosimo
GenderFemale
SpecialityFamily Medicine
Location11535 Sw 88th St, Miami, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1013039643
  • Provider Enumeration Date: 04/04/2007
  • Last Update Date: 06/18/2015

Medical Identifiers

Medical identifiers for Dr Lisa Marie Derosimo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013039643NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine ME 56721 (Florida)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Lisa Marie Derosimo is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Lisa Marie Derosimo, MD MS
11535 Sw 88th St,
Miami, FL 33176-1002

Ph: (786) 595-8000
Dr Lisa Marie Derosimo, MD MS
11535 Sw 88th St,
Miami, FL 33176-1002

Ph: (786) 595-8000

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› Verified 5 days ago


Family Medicine Doctors in Miami, FL

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Phone: 305-642-5366    
Rodolfo Hanabergh, MD
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Practice Location: 7490 Sw 23rd St, 201, Miami, FL 33155
Phone: 786-615-3013    Fax: 786-953-7514

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