Memorial Medical Group of South Florida, LLC
NPI 1336806801ActiveOrganization· Physician Assistant· Hollywood, FL
Physician Assistant in Hollywood, Florida, registered in NPPES in November 2021. The authorized official on file is Lisa B. Marshall, DMSC, PAC, Medical Director.
Overview
| NPI | 1336806801 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 19, 2021 |
| Last updated in NPPES | Nov 19, 2021 |
| Certified by provider | Aug 6, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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