MEDICARE: DR. KAMI LALJI D.P.M

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
1	213E00000X	Podiatrist	PO3249	FL

General Provider Information

NPI Number	:	1558397745
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAMI LALJI D.P.M

Provider Business Mailing Address
First Line	:	607 SOUTH STATE ROAD 7
Second Line	:	APARTMENT 1-A
City	:	MARGATE
State	:	FL
Zip	:	33068
Country	:	US
Telephone Number	:	954-235-6871
Fax Number	:	954-491-5300

Provider Business Practice Location Address
First Line	:	2330 NE 53RD ST
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-3212
Country	:	US
Telephone Number	:	954-235-6871
Fax Number	:	954-491-5300

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2006
Last Update Date	:	01/09/2008

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