Individual Healthcare Provider
Jose Luis Lizardi, PA-C
Provider's NPPES record last updated: January 17, 2025
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1710959622
- Primary Specialty
- Physician Assistant — Medical
- Practice Location
- Davenport, Florida
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 21, 2026, 3:48 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Physician Assistant
Medical
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363AM0700X
Provider-Reported License Information
- Physician Assistant (Florida)
- PA3731
Practice Locations
Practice Location
2330 North Blvd W
Davenport, Florida 33837-8989
Phone: (407) 931-0444
Additional Practice Location
1115 N John Young Pkwy
Kissimmee, Florida 34741-4209
Phone: (407) 931-0444
Fax: (407) 962-4446
Additional Practice Location
2685 Sw 32nd Pl Ste 100
Ocala, Florida 34471-7863
Phone: (407) 931-0444
Fax: (407) 962-4446
Additional Practice Location
5249 Conway Rd
Orlando, Florida 32812-2202
Phone: (407) 931-0444
Fax: (407) 962-4446
Additional Practice Location
3130 Citrus Tower Blvd
Clermont, Florida 34711-6801
Phone: (407) 931-0444
Fax: (407) 962-4446
Additional Practice Location
6210 W Colonial Dr Ste 100
Orlando, Florida 32808-7504
Phone: (407) 931-0444
Fax: (407) 962-4446
Additional Practice Location
5425 S Semoran Blvd
Orlando, Florida 32822-1748
Phone: (407) 931-0444
Fax: (407) 962-4446
Additional Practice Location
931 W Oak St Ste 103
Kissimmee, Florida 34741-4973
Phone: (407) 931-0444
Fax: (407) 962-4446
Additional Practice Location
900 Towne Center Dr
Kissimmee, Florida 34759-3470
Phone: (407) 931-0444
Record Information
- Enumeration Date
- February 3, 2006
- Provider's NPPES Record Last Updated
- January 17, 2025
- Certification Date
- January 17, 2025
- NPISignal NPPES Dataset
- August 2026
See Something Wrong?
Incorrect provider information
Everything on this page comes directly from the NPPES data CMS publishes. NPISignal cannot edit a provider's record — only the provider or organization can, directly through NPPES.
Update a record through NPPESSomething wrong with this page?
If NPISignal is displaying this data incorrectly — a formatting error, a broken link, a mismatch with the source file — let us know.
Report a display issue