IndividualActive
Lisa Service, PA-C
NPI 1598031015 · Medical Physician Assistant · Miami Lakes, FL
Provider details
- NPI number
- 1598031015
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 9105791 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Other Service Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
15507 Nw 67th Ave
Miami Lakes, FL 33014-2108
Phone: (305) 821-8611
Fax: (305) 827-1753
Street-level locationGet directions
Mailing address
900 S Pine Island Rd
Plantation, FL 33324-3920
Registry dates
- Enumerated
- 2012-03-29
- Last updated
- 2019-08-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.