Healthcare Provider Details

I. General information

NPI: 1013004605
Provider Name (Legal Business Name): MARK LAMET MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2006
Last Update Date: 06/17/2024
Certification Date: 06/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4350 SHERIDAN ST STE 101
HOLLYWOOD FL
33021-3556
US

IV. Provider business mailing address

4350 SHERIDAN ST STE 101
HOLLYWOOD FL
33021-3556
US

V. Phone/Fax

Practice location:
  • Phone: 954-961-7771
  • Fax: 954-961-9633
Mailing address:
  • Phone: 954-961-7771
  • Fax: 954-961-9633

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MARK LAMET
Title or Position: PRESIDENT OWNER
Credential: MD
Phone: 954-961-7771