MEDICARE: DR. ROBERT DOUGLAS LAMPORT 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	207RG0100X	Gastroenterology Physician	ME68610	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750369138
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT DOUGLAS LAMPORT MD

Provider Business Mailing Address
First Line	:	17901 BIMINI ISLE CT
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33647-2722
Country	:	US
Telephone Number	:	863-680-7000
Fax Number	:	866-264-8519

Provider Business Practice Location Address
First Line	:	3130 N COUNTY ROAD 25A STE 109
Second Line	:
City	:	TROY
State	:	OH
Zip	:	45373-1337
Country	:	US
Telephone Number	:	937-440-9292
Fax Number	:	937-440-4227

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

Provider Enumeration Date	:	01/05/2006
Last Update Date	:	01/06/2026

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