MEDICARE: CHARLES R. LAMBERT MD

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	207R00000X	Internal Medicine Physician	ME38606	FL
2	207RI0011X	Interventional Cardiology Physician	ME38606	FL
3	207RC0000X	Cardiovascular Disease Physician	ME38606	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	68390	OTHER	FL	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1699797175
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARLES R. LAMBERT MD

Provider Business Mailing Address
First Line	:	7021 RIVERGATE AVE
Second Line	:
City	:	TEMPLE TERRACE
State	:	FL
Zip	:	33637-0917
Country	:	US
Telephone Number	:	813-541-6356
Fax Number	:	813-902-6721

Provider Business Practice Location Address
First Line	:	7021 RIVERGATE AVE
Second Line	:
City	:	TEMPLE TERRACE
State	:	FL
Zip	:	33637-0917
Country	:	US
Telephone Number	:	813-541-6356
Fax Number	:	813-902-6721

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

Provider Enumeration Date	:	07/24/2006
Last Update Date	:	02/27/2023

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