Healthcare Provider Details

I. General information

NPI: 1801750534
Provider Name (Legal Business Name): MARGUERITE ANNE LAMEYER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 BAY AVE
CLEARWATER FL
33756-5291
US

IV. Provider business mailing address

6091 72ND ST N
SAINT PETERSBURG FL
33709-1349
US

V. Phone/Fax

Practice location:
  • Phone: 800-693-5404
  • Fax: 919-424-5085
Mailing address:
  • Phone: 727-483-3652
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSA2857
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: