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NPI Code Detail

MEDICARE: MS. SUHVANNA VICTORIA LAMAR

MEDICARE: MS. SUHVANNA VICTORIA LAMAR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner2022064835FL

General Provider Information

NPI Number : 1396457511
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SUHVANNA VICTORIA LAMAR
Provider Business Mailing Address
First Line : 6933 CROWN LAKE DR
Second Line :
City : GIBSONTON
State : FL
Zip : 33534-3919
Country : US
Telephone Number : 813-954-1107
Fax Number :
Provider Business Practice Location Address
First Line : 400 N TAMPA ST STE 1550
Second Line :
City : TAMPA
State : FL
Zip : 33602-4737
Country : US
Telephone Number : 813-954-1107
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2022
Last Update Date : 01/06/2026

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Directions to “ MS. SUHVANNA VICTORIA LAMAR ” Practice Location

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