Healthcare Provider Details

I. General information

NPI: 1235183757
Provider Name (Legal Business Name): JOSEPH LEMAIRE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

306 ARTHUR GODFREY RD
MIAMI BEACH FL
33140-3603
US

IV. Provider business mailing address

3191 CORAL WAY SUITE 303
CORAL GABLES FL
33145-3213
US

V. Phone/Fax

Practice location:
  • Phone: 305-535-1500
  • Fax: 305-461-5911
Mailing address:
  • Phone: 305-461-6060
  • Fax: 305-461-5911

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME0065663
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: