Jose Luis Lizardi, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA3731 Issued in FL

Practice address

2330 North Blvd W
Davenport, FL 33837-8989

Phone

(407) 931-0444

Fax

(407) 962-4446

NPI assigned

Feb 3, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Orlando Family Medical Inc

  • General Practice Physician
  • Kissimmee, FL
  • NPI 1023119641
  Medicare reassignment
• Emergency Medicine of Florida, Inc.

  • Occupational Medicine Clinic/Center
  • Tampa, FL
  • NPI 1134235872
  NPD (past)
• Florida Em-I Medical Services PA

  • Emergency Medicine Physician
  • Lakeland, FL
  • NPI 1871542720
  NPD (past)
• Orlando Family Medical Inc

  • General Practice Physician
  • Orlando, FL
  • NPI 1982377578
  NPD (past)
• Osprey Emergency Physicians LLC

  • Emergency Medicine Physician
  • Lakeland, FL
  • NPI 1063461960
  NPD (past)
• Tampa Family Health Centers Inc

  • Multi-Specialty Clinic/Center
  • Tampa, FL
  • NPI 1356347413
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1710959622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 44008",
            "address_2": "UFJP WINTER HAVEN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322314008",
            "telephone_number": "904-244-3199",
            "fax_number": "904-244-3425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 NORTH BLVD W",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338378989",
            "telephone_number": "407-931-0444",
            "fax_number": "407-962-4446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1115 N John Young Pkwy",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347414209",
            "country_code": "US",
            "telephone_number": "407-931-0444",
            "fax_number": "407-962-4446",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2685 SW 32nd Pl Ste 100",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344717863",
            "country_code": "US",
            "telephone_number": "407-931-0444",
            "fax_number": "407-962-4446",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5249 Conway Rd",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328122202",
            "country_code": "US",
            "telephone_number": "407-931-0444",
            "fax_number": "407-962-4446",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3130 Citrus Tower Blvd",
            "address_purpose": "LOCATION",
            "city": "Clermont",
            "state": "FL",
            "postal_code": "347116801",
            "country_code": "US",
            "telephone_number": "407-931-0444",
            "fax_number": "407-962-4446",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6210 W Colonial Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328087504",
            "country_code": "US",
            "telephone_number": "407-931-0444",
            "fax_number": "407-962-4446",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5425 S Semoran Blvd",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328221748",
            "country_code": "US",
            "telephone_number": "407-931-0444",
            "fax_number": "407-962-4446",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "931 W Oak St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347414973",
            "country_code": "US",
            "telephone_number": "407-931-0444",
            "fax_number": "407-962-4446",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 Towne Center Dr",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347593470",
            "country_code": "US",
            "telephone_number": "407-931-0444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIZARDI",
        "first_name": "JOSE",
        "middle_name": "LUIS",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA3731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amaury Li
• Robert Lichtenstein, PHARMD
• Yamila Lima Toledo
• Linda Fayes Helping Hands LLC
• Natasia C Lindsay
• Austin Tyler Lofthouse
• Lomba MD PA
• Maria Karla Lopez la Rosa, RBT
• Desi Alexandra Lopez-Campis, APRN
• Jocelyn Lopez, BS

• Medical Physician Assistant in Davenport, FL
• Providers in Davenport, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.